11D2288540 CLIA NUMBER - TRUST HEALTH MD

Laboratory Demographics

  • CLIA Code: 11D2288540
  • Facility Name: TRUST HEALTH MD
  • Facility Address: 1846 OLD NORCROSS ROAD, SUITE 100
    LAWRENCEVILLE, GA
    ZIP 30044
  • Facility Phone: 404 738-7878
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WINSTON L. SAMUELS
  • NPI Number: 1780360651
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 11D2288540
LAB Type Physician Office
Facility Name TRUST HEALTH MD
Street 1846 OLD NORCROSS ROAD, SUITE 100
City LAWRENCEVILLE
State GA
ZIP 30044
Phone 404 738-7878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Physician Office
Lab Director WINSTON L. SAMUELS

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