14D2251718 CLIA NUMBER - SUGAR HOME HEALTH

Laboratory Demographics

  • CLIA Code: 14D2251718
  • Facility Name: SUGAR HOME HEALTH
  • Facility Address: 19319 TRAMORE LANE
    MOKENA, IL
    ZIP 60448
  • Facility Phone: 312 924-1831
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MICIAH B. PATTON
  • NPI Number: 1285198523
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 14D2251718
LAB Type Mobile Laboratory
Facility Name SUGAR HOME HEALTH
Street 19319 TRAMORE LANE
City MOKENA
State IL
ZIP 60448
Phone 312 924-1831
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2024
Certificate Expiration Date 2/3/2026
Facility Type Mobile Laboratory
Lab Director MICIAH B. PATTON

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This page was last updated on: 6/4/2025