18D2290017 CLIA NUMBER - TRINITY HEALTH GROUP, LLC

Laboratory Demographics

CLIA Number: 18D2290017

Facility Name: TRINITY HEALTH GROUP, LLC

Facility Address:
110 RIVER DR
IRVINE, KY
ZIP 40336
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Facility Phone Number: 606 717-1024

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1952047193

Taxonomy: 101YP2500X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	18D2290017
LAB Type	Independent
Facility Name	TRINITY HEALTH GROUP, LLC
Street	110 RIVER DR
City	IRVINE
State	KY
ZIP	40336
Phone	606 717-1024
CertificateType	4
CertificateEffectiveDate	9/19/2023
CertificateExpirationDate	9/18/2025
FacilityType	Waiver

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