CLIA lab
CLIA 14D2180365: Prime Healthcare Il MG - Heart & Vascular Bourbonn
Bourbonnais, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2180365 belongs to Prime Healthcare Il MG - Heart & Vascular Bourbonn in Bourbonnais, IL.
Certificate of Waiver, effective March 12, 2026, expires March 11, 2028.
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 12, 2026
- Certificate expiration
- March 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 12, 2020
- 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
- 14D2180365
- Lab name
- Prime Healthcare Il MG - Heart & Vascular Bourbonn
- Address
- 100 Provena Way - Ste B & C, Bourbonnais, IL 60914
- Phone
- (815) 937-9370
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Bourbonnais, IL
- 2HT Kidney Care, LTDCertificate of Waiver, Physician office14D2140425
- Abc Pediatrics of Kankakee CountyCertificate of Waiver, Physician office14D0429248
- Alliance Internal Medicine S CCertificate of Waiver, Physician office14D1100853
- Amita Health ST Mary's Hosp- Reg Cancer CTRCertificate of Waiver, Community clinic14D1036681
- Bickford House of BourbonnaisCertificate of Waiver, Assisted living facility14D1057777
- Bourbonnais Fire Protection DistrictCertificate of Waiver, Other14D2239372
- Center for Digestive HealthCertificate of Waiver, Ambulatory surgery center14D1022708
- Citadel of BourbonnaisCertificate of Waiver, Skilled nursing or nursing facility14D0957762
- Digestive Diseases ConsultantsCertificate of Accreditation, Physician office14D0898770
- Endocrine Solutions LLCCertificate of Waiver, Physician office14D2123564
Related
Questions
What is the CLIA number for Prime Healthcare Il MG - Heart & Vascular Bourbonn in Bourbonnais?
14D2180365, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prime Healthcare Il MG - Heart & Vascular Bourbonn hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2180365 expire?
The CMS file lists March 11, 2028 as the certificate expiration date; the certificate took effect March 12, 2026.