05D2177340 CLIA NUMBER - TRINITY ADHC

Laboratory Demographics

  • CLIA Code: 05D2177340
  • Facility Name: TRINITY ADHC
  • Facility Address: 6200 LANKERSHIM BLVD
    N HOLLYWOOD, CA
    ZIP 91606
  • Facility Phone: 818 358-4205
  • Facility Type: Other - ADULT DAY HEALTH CARE
  • Facility Type: Waiver
  • Lab Director: LOUIS FLORES MD
  • NPI Number: 1003463993
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2177340
LAB Type Other - ADULT DAY HEALTH CARE
Facility Name TRINITY ADHC
Street 6200 LANKERSHIM BLVD
City N HOLLYWOOD
State CA
ZIP 91606
Phone 818 358-4205
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Other - ADULT DAY HEALTH CARE
Lab Director LOUIS FLORES MD

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