CLIA lab
CLIA 14D2272054: Premise Health of Illinois Medical, S C
Alsip, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2272054 belongs to Premise Health of Illinois Medical, S C in Alsip, IL.
Certificate of Waiver, effective November 14, 2024, expires November 13, 2026.
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
- November 14, 2024
- Certificate expiration
- November 13, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 14, 2022
- 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
- 14D2272054
- Lab name
- Premise Health of Illinois Medical, S C
- Address
- 6195 W 115th St - Ste A, Alsip, IL 60803
- Phone
- (312) 262-7002
- Fax
- (312) 262-7005
Annual test volume the lab reported
- Waived tests
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Premise Health of Illinois Medical, S C in Alsip?
14D2272054, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Illinois Medical, S C hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2272054 expire?
The CMS file lists November 13, 2026 as the certificate expiration date; the certificate took effect November 14, 2024.