CLIA lab
CLIA 14D2307968: Harlem 122 Health Clinic
Machesney Park, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2307968 belongs to Harlem 122 Health Clinic in Machesney Park, IL.
Certificate of Waiver, effective July 18, 2026, expires July 17, 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 18, 2026
- Certificate expiration
- July 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 18, 2024
- 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
- 14D2307968
- Lab name
- Harlem 122 Health Clinic
- Address
- 1 Huskie Circle, Machesney Park, IL 61115
- Phone
- (802) 857-0400
- Fax
- (802) 857-0498
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Myeyedr Optometry of Illinois, LLCCertificate of Waiver, Physician office14D2347836
- Physicians Immediate CareCertificate of Waiver, Other14D0976948
- T L C Living CommunityCertificate of Waiver, Assisted living facility14D2202588
- Walgreens #12126Certificate of Waiver, Pharmacy14D2216770
Related
Questions
What is the CLIA number for Harlem 122 Health Clinic in Machesney Park?
14D2307968, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Harlem 122 Health Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2307968 expire?
The CMS file lists July 17, 2028 as the certificate expiration date; the certificate took effect July 18, 2026.