CLIA lab

CLIA 14D2163787: Scott J Rusco, D O, Inc (Private Office)

Oak Forest, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 14D2163787 belongs to Scott J Rusco, D O, Inc (Private Office) in Oak Forest, IL.

Certificate of Waiver, effective March 21, 2025, expires March 20, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
March 21, 2025
Certificate expiration
March 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 21, 2019
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
14D2163787
Lab name
Scott J Rusco, D O, Inc (Private Office)
Address
6360 W 159th St - Ste D & E, Oak Forest, IL 60452
Phone
(708) 535-6204
Fax
(708) 535-6431

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Scott J Rusco, D O, Inc (Private Office) in Oak Forest?

14D2163787, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Scott J Rusco, D O, Inc (Private Office) hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2163787 expire?

The CMS file lists March 20, 2027 as the certificate expiration date; the certificate took effect March 21, 2025.

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