CLIA lab
CLIA 14D2188839: Riverside Medical Group Urology
Kankakee, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2188839 belongs to Riverside Medical Group Urology in Kankakee, IL.
Certificate of Waiver, effective July 22, 2026, expires July 21, 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
- July 22, 2026
- Certificate expiration
- July 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 22, 2020
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 14D2188839
- Lab name
- Riverside Medical Group Urology
- Address
- 375 N Wall St Suite P420, Kankakee, IL 60901
- Phone
- (815) 614-5452
- Fax
- (815) 614-5453
Annual test volume the lab reported
- Waived tests
- 3,900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Asbury of Kankakee Supportive LivingCertificate of Waiver, Other14D2212505
- Ascension Living Heritage VillageCertificate of Waiver, Skilled nursing or nursing facility14D0965320
- Ascension Saint Mary EMSCertificate of Waiver, Ambulance14D0920075
- Azzarelli Outreach Clinic of ST Teresa ChurchCertificate of Waiver, Community clinic14D1061790
- B A S F Kankakee Medical DepartmentCertificate of Waiver, Other14D2068092
- Citadel Care Center of KankakeeCertificate of Waiver, Skilled nursing or nursing facility14D0858655
- Cvs/Pharmacy #02663Certificate of Waiver, Pharmacy14D2257869
- DR Brian OlofssonCertificate of Waiver, Physician office14D0876545
Related
Questions
What is the CLIA number for Riverside Medical Group Urology in Kankakee?
14D2188839, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Riverside Medical Group Urology hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2188839 expire?
The CMS file lists July 21, 2028 as the certificate expiration date; the certificate took effect July 22, 2026.