14D2325300 CLIA NUMBER - TRINITY HEALTHCARE PRACTICE LLC

Laboratory Demographics

  • CLIA Code: 14D2325300
  • Facility Name: TRINITY HEALTHCARE PRACTICE LLC
  • Facility Address: 2810 FRANK SCOTT PARKWAY WEST - STE 708
    BELLEVILLE, IL
    ZIP 62223
  • Facility Phone: 314 252-8704
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TINA T. MOND
  • NPI Number: 1689462608
  • Taxonomy: 363LF0000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2325300
LAB Type Practitioner Other
Facility Name TRINITY HEALTHCARE PRACTICE LLC
Street 2810 FRANK SCOTT PARKWAY WEST - STE 708
City BELLEVILLE
State IL
ZIP 62223
Phone 314 252-8704
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Practitioner Other
Lab Director TINA T. MOND

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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