10D1010010 CLIA NUMBER - TRINITY MEDICAL ASSOCIATES LLC

Laboratory Demographics

  • CLIA Code: 10D1010010
  • Facility Name: TRINITY MEDICAL ASSOCIATES LLC
  • Facility Address: 3633 LITTLE RD STE 101
    TRINITY, FL
    ZIP 34655
  • Facility Phone: 727 375-2222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY S. VASTA
  • NPI Number: 1497779169
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1010010
LAB Type Physician Office
Facility Name TRINITY MEDICAL ASSOCIATES LLC
Street 3633 LITTLE RD STE 101
City TRINITY
State FL
ZIP 34655
Phone 727 375-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Physician Office
Lab Director JEFFREY S. VASTA

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This page was last updated on: 9/29/2025