14D2013793 CLIA NUMBER - CARY ANN JENKINS MD LLC D/B/A MORRIS DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 14D2013793
  • Facility Name: CARY ANN JENKINS MD LLC D/B/A MORRIS DERMATOLOGY
  • Facility Address: 1499 LAKEWOOD DR, UNIT A
    MORRIS, IL
    ZIP 60450
  • Facility Phone: 815 941-5160
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. CARY ANN JENKINS
  • NPI Number: 1801122536
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 14D2013793
LAB Type Physician Office
Facility Name CARY ANN JENKINS MD LLC D/B/A MORRIS DERMATOLOGY
Street 1499 LAKEWOOD DR, UNIT A
City MORRIS
State IL
ZIP 60450
Phone 815 941-5160
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Physician Office
Lab Director DR. CARY ANN JENKINS

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