34D0903837 CLIA NUMBER - TRINITY HEALTH CARE

Laboratory Demographics

  • CLIA Code: 34D0903837
  • Facility Name: TRINITY HEALTH CARE
  • Facility Address: 930 WEST WILSON AVE
    MOORESVILLE, NC
    ZIP 28117
  • Facility Phone: 704 663-7500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANTHONY W. MACASIEB
  • NPI Number: 1134184583
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 34D0903837
LAB Type Physician Office
Facility Name TRINITY HEALTH CARE
Street 930 WEST WILSON AVE
City MOORESVILLE
State NC
ZIP 28117
Phone 704 663-7500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Physician Office
Lab Director ANTHONY W. MACASIEB

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