14D2250457 CLIA NUMBER - TRINITY MEDICAL CENTER - CARDIAC REHAB DEPT

Laboratory Demographics

  • CLIA Code: 14D2250457
  • Facility Name: TRINITY MEDICAL CENTER - CARDIAC REHAB DEPT
  • Facility Address: 2701 17TH ST
    ROCK ISLAND, IL
    ZIP 61201
  • Facility Phone: 309 779-2880
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: FARAZ MANAZIR
  • NPI Number: 1265037527
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 14D2250457
LAB Type Hospital
Facility Name TRINITY MEDICAL CENTER - CARDIAC REHAB DEPT
Street 2701 17TH ST
City ROCK ISLAND
State IL
ZIP 61201
Phone 309 779-2880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/27/2024
Certificate Expiration Date 1/26/2026
Facility Type Hospital
Lab Director FARAZ MANAZIR

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