10D2050191 CLIA NUMBER - TRINITY MEDICAL PHYSICIANS LLC DBA TRINITY MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 10D2050191
  • Facility Name: TRINITY MEDICAL PHYSICIANS LLC DBA TRINITY MEDICAL GROUP
  • Facility Address: 550 POPE AVE NW, SUITE 300
    WINTER HAVEN, FL
    ZIP 33881
  • Facility Phone: 863 646-4000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADAM C. PARKER
  • NPI Number: 1932515343
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2050191
LAB Type Physician Office
Facility Name TRINITY MEDICAL PHYSICIANS LLC DBA TRINITY MEDICAL GROUP
Street 550 POPE AVE NW, SUITE 300
City WINTER HAVEN
State FL
ZIP 33881
Phone 863 646-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Physician Office
Lab Director ADAM C. PARKER

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