CLIA lab
CLIA 14D2167912: Advocate Medical Group Imani Village
Chicago, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2167912 belongs to Advocate Medical Group Imani Village in Chicago, IL.
Certificate for Provider-Performed Microscopy Procedures, effective June 18, 2025, expires June 17, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- June 18, 2025
- Certificate expiration
- June 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 18, 2019
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 14D2167912
- Lab name
- Advocate Medical Group Imani Village
- Address
- 901 E 95th, Chicago, IL 60619
- Phone
- (773) 295-3101
- Fax
- (773) 295-3122
Annual test volume the lab reported
- Waived tests
- 1,300
- Provider-performed microscopy tests
- 300
- Total
- 1,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Advocate Medical Group Imani Village in Chicago?
14D2167912, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Advocate Medical Group Imani Village hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 14D2167912 expire?
The CMS file lists June 17, 2027 as the certificate expiration date; the certificate took effect June 18, 2025.