10D2053583 CLIA NUMBER - M-SAC INC DBA TRILOGY HOME HEALTHCARE

Laboratory Demographics

  • CLIA Code: 10D2053583
  • Facility Name: M-SAC INC DBA TRILOGY HOME HEALTHCARE
  • Facility Address: 5575 S SEMORAN BLVD SUITE 19
    ORLANDO, FL
    ZIP 32822
  • Facility Phone: 407 259-2272
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TRACI JONES
  • NPI Number: 1306183751
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2053583
LAB Type Home Health Agency
Facility Name M-SAC INC DBA TRILOGY HOME HEALTHCARE
Street 5575 S SEMORAN BLVD SUITE 19
City ORLANDO
State FL
ZIP 32822
Phone 407 259-2272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Home Health Agency
Lab Director TRACI JONES

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