36D1044220 CLIA NUMBER - TRINITY MEDICAL GROUP GNADENHUTTEN

Laboratory Demographics

  • CLIA Code: 36D1044220
  • Facility Name: TRINITY MEDICAL GROUP GNADENHUTTEN
  • Facility Address: 110 N WALNUT ST
    GNADENHUTTEN, OH
    ZIP 44629
  • Facility Phone: 740 254-9443
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STUART BROWN
  • NPI Number: 1104265792
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1044220
LAB Type Physician Office
Facility Name TRINITY MEDICAL GROUP GNADENHUTTEN
Street 110 N WALNUT ST
City GNADENHUTTEN
State OH
ZIP 44629
Phone 740 254-9443
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Physician Office
Lab Director STUART BROWN

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