01D2184678 CLIA NUMBER - TRINITY RAIN HEALTHCARE LLC

Laboratory Demographics

CLIA Number: 01D2184678

Facility Name: TRINITY RAIN HEALTHCARE LLC

Facility Address:
8910 CROSSWIND CIRCLE APT 201
MONTGOMERY, AL
ZIP 36117
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Facility Phone Number: (334) 235-6277

Facility Type: MOBILE LAB

Certificate Type: Waiver

NPI Number: 1639615420

Taxonomy: 363LF0000X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	01D2184678
LAB Type	MOBILE LAB
Facility Name	TRINITY RAIN HEALTHCARE LLC
Street	8910 CROSSWIND CIRCLE APT 201
City	MONTGOMERY
State	AL
ZIP	36117
Phone	(334) 235-6277

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This page was last updated on: 5/11/2023