14D2073240 CLIA NUMBER - MY FAMILY DOC

Laboratory Demographics

  • CLIA Code: 14D2073240
  • Facility Name: MY FAMILY DOC
  • Facility Address: 2001 ESSINGTON RD
    JOLIET, IL
    ZIP 60435
  • Facility Phone: (815) 733-6888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOLLY M. D COSTA
  • NPI Number: 1528489739
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2073240
LAB Type Physician Office
Facility Name MY FAMILY DOC
Street 2001 ESSINGTON RD
City JOLIET
State IL
ZIP 60435
Phone 8157336888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2026
Certificate Expiration Date 2/12/2028
Facility Type Physician Office
Lab Director MOLLY M. D COSTA

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This page was last updated on: 5/18/2026