10D2238979 CLIA NUMBER - BEACON PSYCHIATRY LLC

Laboratory Demographics

  • CLIA Code: 10D2238979
  • Facility Name: BEACON PSYCHIATRY LLC
  • Facility Address: 8141 BELLARUS WAY STE 103
    TRINITY, FL
    ZIP 34655
  • Facility Phone: 727 910-2395
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LINH PHUONG THI DINH
  • NPI Number: 1578140257
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2238979
LAB Type Physician Office
Facility Name BEACON PSYCHIATRY LLC
Street 8141 BELLARUS WAY STE 103
City TRINITY
State FL
ZIP 34655
Phone 727 910-2395
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2023
Certificate Expiration Date 10/6/2025
Facility Type Physician Office
Lab Director LINH PHUONG THI DINH

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