CLIA lab
CLIA 14D2306724: Alta at Fairmont
Chicago, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2306724 belongs to Alta at Fairmont in Chicago, IL.
Certificate of Waiver, effective June 24, 2026, expires June 23, 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
- June 24, 2026
- Certificate expiration
- June 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 24, 2024
- Facility type
- Skilled nursing or nursing facility
- 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
- 14D2306724
- Lab name
- Alta at Fairmont
- Address
- 5061 N Pulaski Rd, Chicago, IL 60630
- Phone
- (773) 604-8112
- Fax
- (773) 604-8113
Annual test volume the lab reported
- Waived tests
- 50,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Alta Rehab at FairmontCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Alta at Fairmont in Chicago?
14D2306724, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Alta at Fairmont hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2306724 expire?
The CMS file lists June 23, 2028 as the certificate expiration date; the certificate took effect June 24, 2026.