10D2009639 CLIA NUMBER - TRINITY PAIN CENTER, LLC

Laboratory Demographics

  • CLIA Code: 10D2009639
  • Facility Name: TRINITY PAIN CENTER, LLC
  • Facility Address: 8146 CEREBELLUM WAY - STE 102
    TRINITY, FL
    ZIP 34655
  • Facility Phone: 727 264-8865
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANJAN KUMAR GHOSH
  • NPI Number: 1942525688
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2009639
LAB Type Physician Office
Facility Name TRINITY PAIN CENTER, LLC
Street 8146 CEREBELLUM WAY - STE 102
City TRINITY
State FL
ZIP 34655
Phone 727 264-8865
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Physician Office
Lab Director ANJAN KUMAR GHOSH

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