10D2207511 CLIA NUMBER - ASC OF TRINITY, LLC

Laboratory Demographics

  • CLIA Code: 10D2207511
  • Facility Name: ASC OF TRINITY, LLC
  • Facility Address: 15238 VIRGINIA STATION
    ODESSA, FL
    ZIP 33556
  • Facility Phone: 813 596-5200
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JENNIFER LYNNE COOK
  • NPI Number: 1538773890
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2207511
LAB Type Ambulatory Surgery Center
Facility Name ASC OF TRINITY, LLC
Street 15238 VIRGINIA STATION
City ODESSA
State FL
ZIP 33556
Phone 813 596-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Ambulatory Surgery Center
Lab Director JENNIFER LYNNE COOK

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