14D1075300 CLIA NUMBER - JASON E BARNETT M D S C

Laboratory Demographics

  • CLIA Code: 14D1075300
  • Facility Name: JASON E BARNETT M D S C
  • Facility Address: 6812 STATE ROUTE 162, STE 120
    MARYVILLE, IL
    ZIP 62062
  • Facility Phone: 618 288-0044
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON E. BARNETT M D
  • NPI Number: 1295728988
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D1075300
LAB Type Physician Office
Facility Name JASON E BARNETT M D S C
Street 6812 STATE ROUTE 162, STE 120
City MARYVILLE
State IL
ZIP 62062
Phone 618 288-0044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2025
Certificate Expiration Date 10/16/2027
Facility Type Physician Office
Lab Director JASON E. BARNETT M D

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025