14D2016756 CLIA NUMBER - JILL A PATTERSON MD SC

Laboratory Demographics

  • CLIA Code: 14D2016756
  • Facility Name: JILL A PATTERSON MD SC
  • Facility Address: 1148 FRONT ST
    MOKENA, IL
    ZIP 60448
  • Facility Phone: 708 478-5763
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICKIE J. COLDWATER
  • NPI Number: 1083642557
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2016756
LAB Type Physician Office
Facility Name JILL A PATTERSON MD SC
Street 1148 FRONT ST
City MOKENA
State IL
ZIP 60448
Phone 708 478-5763
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/24/2024
Certificate Expiration Date 11/23/2026
Facility Type Physician Office
Lab Director VICKIE J. COLDWATER

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