11D2276381 CLIA NUMBER - TRINITY PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 11D2276381
  • Facility Name: TRINITY PRIMARY CARE
  • Facility Address: 5934 GA HWY 515 EAST
    BLAIRSVILLE, GA
    ZIP 30512
  • Facility Phone: 706 970-4599
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KATHRYN BLOCKER
  • NPI Number: 1912609504
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D2276381
LAB Type Physician Office
Facility Name TRINITY PRIMARY CARE
Street 5934 GA HWY 515 EAST
City BLAIRSVILLE
State GA
ZIP 30512
Phone 706 970-4599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Physician Office
Lab Director DR. KATHRYN BLOCKER

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