14D2143201 CLIA NUMBER - TRINITY HEALTH AND WELLNESS, LLC

Laboratory Demographics

  • CLIA Code: 14D2143201
  • Facility Name: TRINITY HEALTH AND WELLNESS, LLC
  • Facility Address: 850 BRYANT STREET
    LOUISVILLE, IL
    ZIP 62858
  • Facility Phone: 618 665-7000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELA C. CASOLARI
  • NPI Number: 1356857981
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2143201
LAB Type Physician Office
Facility Name TRINITY HEALTH AND WELLNESS, LLC
Street 850 BRYANT STREET
City LOUISVILLE
State IL
ZIP 62858
Phone 618 665-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Physician Office
Lab Director ANGELA C. CASOLARI

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This page was last updated on: 6/4/2025