14D2212563 CLIA NUMBER - TRINITY SERVICES, INC

Laboratory Demographics

  • CLIA Code: 14D2212563
  • Facility Name: TRINITY SERVICES, INC
  • Facility Address: 101 HEMPSTEAD PLACE
    JOLIET, IL
    ZIP 60433
  • Facility Phone: 815 485-6197
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: RAJANI G. PATWARI
  • NPI Number: 1023625951
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 14D2212563
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name TRINITY SERVICES, INC
Street 101 HEMPSTEAD PLACE
City JOLIET
State IL
ZIP 60433
Phone 815 485-6197
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director RAJANI G. PATWARI

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