CLIA lab
CLIA 14D2241175: Wild Fork Foods - MT Prospect
Mount Prospect, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2241175 belongs to Wild Fork Foods - MT Prospect in Mount Prospect, IL.
Certificate of Waiver, effective October 26, 2025, expires October 25, 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
- October 26, 2025
- Certificate expiration
- October 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 26, 2021
- Facility type
- Other
- 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
- 14D2241175
- Lab name
- Wild Fork Foods - MT Prospect
- Address
- 2 E Rand Rd, Mount Prospect, IL 60056
- Phone
- (630) 659-5033
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advocate Medical Group - Mount ProspectCertificate of Waiver, Physician office14D2166295
- American House Mount ProspectCertificate of Waiver, Assisted living facility14D2220200
- Assocs for Oral, Maxillofacial and Implant SurgeryCertificate of Waiver, Physician office14D2056203
- Best Medical SupplyCertificate of Waiver, Independent14D2349476
- Cvs/Pharmacy #03110Certificate of Waiver, Pharmacy14D2223273
- Dha LaboratoryCertificate of Compliance, Independent14D0995837
- East Shoreline Supplies IncCertificate of Waiver, Independent14D2332174
- Family Wellness Clinic LTDCertificate of Waiver, Physician office14D1000664
Related
Questions
What is the CLIA number for Wild Fork Foods - MT Prospect in Mount Prospect?
14D2241175, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Wild Fork Foods - MT Prospect hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2241175 expire?
The CMS file lists October 25, 2027 as the certificate expiration date; the certificate took effect October 26, 2025.