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14D0720899 CLIA NUMBER - TRINITY MED CENTER-EMS ILLINOIS DESIGNATED RESOURCE HOSPITAL

Laboratory Demographics

CLIA Number: 14D0720899

Facility Name: TRINITY MED CENTER-EMS ILLINOIS DESIGNATED RESOURCE HOSPITAL

Facility Address:
2701 17TH STREET
ROCK ISLAND, IL
ZIP 61201
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Facility Phone Number: 309 779-7756

Facility Type: Mobile Laboratory

Certificate Type: Waiver
NPI Number: 1033163829

Taxonomy: 2084P0800X - Psychiatry & Neurology
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

CLIA Record

Field Name Field Value
CLIA Number 14D0720899
LAB Type Mobile Laboratory
Facility Name TRINITY MED CENTER-EMS ILLINOIS DESIGNATED RESOURCE HOSPITAL
Street 2701 17TH STREET
City ROCK ISLAND
State IL
ZIP 61201
Phone 309 779-7756
CertificateType 4
CertificateEffectiveDate 10/30/2022
CertificateExpirationDate 10/29/2024
FacilityType Waiver

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