36D2298351 CLIA NUMBER - TRILLIUM SURGERY, LLC

Laboratory Demographics

  • CLIA Code: 36D2298351
  • Facility Name: TRILLIUM SURGERY, LLC
  • Facility Address: 680 BUCKLES COURT NORTH, SUITE 2D
    GAHANNA, OH
    ZIP 43230
  • Facility Phone: 614 354-2462
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SRIKRISHNA MANNAVA
  • NPI Number: 1730958067
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2298351
LAB Type Ambulatory Surgery Center
Facility Name TRILLIUM SURGERY, LLC
Street 680 BUCKLES COURT NORTH, SUITE 2D
City GAHANNA
State OH
ZIP 43230
Phone 614 354-2462
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2024
Certificate Expiration Date 1/31/2026
Facility Type Ambulatory Surgery Center
Lab Director SRIKRISHNA MANNAVA

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