CLIA lab
CLIA 14D2168378: DR Sunil K Shah D O, S C - Momence
Momence, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2168378 belongs to DR Sunil K Shah D O, S C - Momence in Momence, IL.
Certificate of Waiver, effective June 27, 2025, expires June 26, 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
- June 27, 2025
- Certificate expiration
- June 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 27, 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
- 14D2168378
- Lab name
- DR Sunil K Shah D O, S C - Momence
- Address
- 739 N Dixie Hwy, Momence, IL 60954
- Phone
- (815) 472-2486
Annual test volume the lab reported
- Waived tests
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Momence, IL
- Good Shepherd Manor IncCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities14D1055712
- Momence Meadows Nursing & Rehab Center LLCCertificate of Waiver, Skilled nursing or nursing facility14D0954622
- Riverside Community Health of MomenceCertificate for Provider-Performed Microscopy Procedures, Physician office14D0429463
- Van Drunen FarmsCertificate of Waiver, Other14D2212079
Related
Questions
What is the CLIA number for DR Sunil K Shah D O, S C - Momence in Momence?
14D2168378, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does DR Sunil K Shah D O, S C - Momence hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2168378 expire?
The CMS file lists June 26, 2027 as the certificate expiration date; the certificate took effect June 27, 2025.