CLIA lab
CLIA 14D2336393: Vitality Family Medicine & Wellness PLLC
Bourbonnais, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D2336393 belongs to Vitality Family Medicine & Wellness PLLC in Bourbonnais, IL.
Certificate of Waiver, effective January 2, 2026, expires January 1, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 2, 2026
- Certificate expiration
- January 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 2, 2026
- 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
- 14D2336393
- Lab name
- Vitality Family Medicine & Wellness PLLC
- Address
- 232 Main St NW - Ste 203, Bourbonnais, IL 60914
- Phone
- (815) 954-0136
Annual test volume the lab reported
- Waived tests
- 1,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Bourbonnais, IL
- 2HT Kidney Care, LTDCertificate of Waiver, Physician office14D2140425
- Abc Pediatrics of Kankakee CountyCertificate of Waiver, Physician office14D0429248
- Alliance Internal Medicine S CCertificate of Waiver, Physician office14D1100853
- Amita Health ST Mary's Hosp- Reg Cancer CTRCertificate of Waiver, Community clinic14D1036681
- Bickford House of BourbonnaisCertificate of Waiver, Assisted living facility14D1057777
- Bourbonnais Fire Protection DistrictCertificate of Waiver, Other14D2239372
- Center for Digestive HealthCertificate of Waiver, Ambulatory surgery center14D1022708
- Citadel of BourbonnaisCertificate of Waiver, Skilled nursing or nursing facility14D0957762
- Digestive Diseases ConsultantsCertificate of Accreditation, Physician office14D0898770
- Endocrine Solutions LLCCertificate of Waiver, Physician office14D2123564
Related
Questions
What is the CLIA number for Vitality Family Medicine & Wellness PLLC in Bourbonnais?
14D2336393, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Vitality Family Medicine & Wellness PLLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 14D2336393 expire?
The CMS file lists January 1, 2028 as the certificate expiration date; the certificate took effect January 2, 2026.