10D2283995 CLIA NUMBER - TROST FL LLC

Laboratory Demographics

CLIA Number: 10D2283995

Facility Name: TROST FL LLC

Facility Address:
111 NORTH ORANGE SUITE 800 OFFICE #812
ORLANDO, FL
ZIP 32801
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Facility Phone Number: 850 406-6471

Facility Type: Other - SUB ABUSE TREATMENT

Certificate Type: Waiver

NPI Number: 1083318471

Taxonomy: 261QR0405X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2283995
LAB Type	Other - SUB ABUSE TREATMENT
Facility Name	TROST FL LLC
Street	111 NORTH ORANGE SUITE 800 OFFICE #812
City	ORLANDO
State	FL
ZIP	32801
Phone	850 406-6471
CertificateType	4
CertificateEffectiveDate	6/15/2023
CertificateExpirationDate	6/14/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024