10D2292576 CLIA NUMBER - TRU3 LABORATORY LLC

Laboratory Demographics

  • CLIA Code: 10D2292576
  • Facility Name: TRU3 LABORATORY LLC
  • Facility Address: 12236 TAVARES RIDGE LN
    TAVARES, FL
    ZIP 32778
  • Facility Phone: 407 955-6450
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: KRISTEN IDOWU
  • NPI Number: 1225897804
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 10D2292576
LAB Type Mobile Laboratory
Facility Name TRU3 LABORATORY LLC
Street 12236 TAVARES RIDGE LN
City TAVARES
State FL
ZIP 32778
Phone 407 955-6450
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2023
Certificate Expiration Date 10/25/2025
Facility Type Mobile Laboratory
Lab Director KRISTEN IDOWU

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