03D2103092 CLIA NUMBER - TRINITY INTEGRATED MEDICINE

Laboratory Demographics

  • CLIA Code: 03D2103092
  • Facility Name: TRINITY INTEGRATED MEDICINE
  • Facility Address: 10320 W MCDOWELL RD STE L1238
    AVONDALE, AZ
    ZIP 85392
  • Facility Phone: 623 873-0112
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RODD AKING
  • NPI Number: 1942212345
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D2103092
LAB Type Physician Office
Facility Name TRINITY INTEGRATED MEDICINE
Street 10320 W MCDOWELL RD STE L1238
City AVONDALE
State AZ
ZIP 85392
Phone 623 873-0112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2023
Certificate Expiration Date 10/5/2025
Facility Type Physician Office
Lab Director RODD AKING

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