CLIA lab
CLIA 14D2170566: Family Medicine Specialists of MT Prospect
Mchenry, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2170566 belongs to Family Medicine Specialists of MT Prospect in Mchenry, IL.
Certificate of Waiver, effective August 14, 2025, expires August 13, 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
- August 14, 2025
- Certificate expiration
- August 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 14, 2019
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 6
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D2170566
- Lab name
- Family Medicine Specialists of MT Prospect
- Address
- 2253 N Richmond Rd, Mchenry, IL 60050
- Phone
- (847) 526-2151
- Fax
- (847) 526-2017
Annual test volume the lab reported
- Waived tests
- 800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mchenry, IL
- Advocate Medical Group MchenryCertificate of Waiver, Physician office14D2009333
- Alden Terrace of MchenryCertificate of Waiver, Skilled nursing or nursing facility14D0413315
- All Solutions Healthcare IncCertificate of Waiver, Home health agency14D1058377
- Archive Health - Mchenry, Il 1600 ClinicCertificate of Waiver, Other14D2315688
- C V S / Pharmacy #10470Certificate of Waiver, Pharmacy14D2187057
- DR George L StankevychCertificate for Provider-Performed Microscopy Procedures, Physician office14D0719019
- Derick DermatologyCertificate of Waiver, Physician office14D2155444
- Dialysis Care Center Mchenry, L L CCertificate of Waiver, End stage renal disease dialysis facility14D2158339
- FJ Psychological ServicesCertificate of Waiver, Physician office14D2251916
- FMC of MchenryCertificate of Waiver, End stage renal disease dialysis facility14D1043939
Related
Questions
What is the CLIA number for Family Medicine Specialists of MT Prospect in Mchenry?
14D2170566, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Medicine Specialists of MT Prospect hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2170566 expire?
The CMS file lists August 13, 2027 as the certificate expiration date; the certificate took effect August 14, 2025.