21D2079731 CLIA NUMBER - TRINITY OBSTETRICS & GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 21D2079731
  • Facility Name: TRINITY OBSTETRICS & GYNECOLOGY
  • Facility Address: 1414 CRAIN HIGHWAY NORTH SUITE 1A
    GLEN BURNIE, MD
    ZIP 21061
  • Facility Phone: 410 760-1118
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ADEGBOYEGA I. ADEJANA
  • NPI Number: 1720327893
  • Taxonomy: 207VX0000X - Obstetrics & Gynecology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 21D2079731
LAB Type Physician Office
Facility Name TRINITY OBSTETRICS & GYNECOLOGY
Street 1414 CRAIN HIGHWAY NORTH SUITE 1A
City GLEN BURNIE
State MD
ZIP 21061
Phone 410 760-1118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/24/2024
Certificate Expiration Date 6/23/2026
Facility Type Physician Office
Lab Director ADEGBOYEGA I. ADEJANA

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