10D1090408 CLIA NUMBER - TRINITY DOCTORS GROUP PA

Laboratory Demographics

  • CLIA Code: 10D1090408
  • Facility Name: TRINITY DOCTORS GROUP PA
  • Facility Address: 8133 STATE ROAD 54
    NEW PORT RICHEY, FL
    ZIP 34655
  • Facility Phone: (727) 372-3750
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN D. IBRAHIM MD
  • NPI Number: 1952564726
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1090408
LAB Type Physician Office
Facility Name TRINITY DOCTORS GROUP PA
Street 8133 STATE ROAD 54
City NEW PORT RICHEY
State FL
ZIP 34655
Phone 7273723750
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2024
Certificate Expiration Date 10/8/2026
Facility Type Physician Office
Lab Director JOHN D. IBRAHIM MD

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This page was last updated on: 5/18/2026