19D0675150 CLIA NUMBER - TRINITY TRACE

Laboratory Demographics

  • CLIA Code: 19D0675150
  • Facility Name: TRINITY TRACE
  • Facility Address: 612 HOLY TRINITY DRIVE
    COVINGTON, LA
    ZIP 70433
  • Facility Phone: 504 643-5630
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CRAIG P. PARKER
  • NPI Number: 1528000965
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 19D0675150
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name TRINITY TRACE
Street 612 HOLY TRINITY DRIVE
City COVINGTON
State LA
ZIP 70433
Phone 504 643-5630
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CRAIG P. PARKER

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