CLIA lab

CLIA 14D2342017: Modena Green Oaks

Lake Bluff, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 14D2342017 belongs to Modena Green Oaks in Lake Bluff, IL.

Certificate of Waiver, effective April 13, 2026, expires April 12, 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
April 13, 2026
Certificate expiration
April 12, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 13, 2026
Facility type
Assisted living 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
14D2342017
Lab name
Modena Green Oaks
Address
29330 N Waukegan Rd, Lake Bluff, IL 60044
Phone
(847) 604-0004
Fax
(847) 307-8469

Annual test volume the lab reported

Waived tests
7,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Lake Bluff, IL

Related

Questions

What is the CLIA number for Modena Green Oaks in Lake Bluff?

14D2342017, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Modena Green Oaks hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 14D2342017 expire?

The CMS file lists April 12, 2028 as the certificate expiration date; the certificate took effect April 13, 2026.

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