CLIA lab
CLIA 14D0913083: Jerry Jensen D O
South Holland, IL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 14D0913083 belongs to Jerry Jensen D O in South Holland, IL.
Certificate for Provider-Performed Microscopy Procedures, effective March 20, 2026, expires March 19, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- March 20, 2026
- Certificate expiration
- March 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 20, 1996
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 14D0913083
- Lab name
- Jerry Jensen D O
- Address
- 15525 South Park #113, South Holland, IL 60473
- Phone
- (708) 331-5100
- Fax
- (708) 331-5005
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in South Holland, IL
- Advocate Medical Group - South HollandCertificate for Provider-Performed Microscopy Procedures, Physician office14D0900612
- Arden Courts of South Holland Il LLCCertificate of Waiver, Assisted living facility14D0926702
- C Matthew Chelich DO LTDCertificate for Provider-Performed Microscopy Procedures, Physician office14D0998844
- Christian Community Health CenterCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center14D1077135
- Cityblock Medical Practice, P ACertificate of Waiver, Physician office14D2302393
- Complete Home Health Services IncCertificate of Waiver, Home health agency14D2007222
- Elevate Care South HollandCertificate of Waiver, Skilled nursing or nursing facility14D2276958
- Fresenius Medical Care South HollandCertificate of Waiver, End stage renal disease dialysis facility14D0716017
- Grace Home Health Care IncCertificate of Waiver, Home health agency14D2016758
- Hope Home Health IncCertificate of Waiver, Home health agency14D1094037
Related
Questions
What is the CLIA number for Jerry Jensen D O in South Holland?
14D0913083, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jerry Jensen D O hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 14D0913083 expire?
The CMS file lists March 19, 2028 as the certificate expiration date; the certificate took effect March 20, 2026.