39D2259855 CLIA NUMBER - TRILOGY WELLNESS LLC

Laboratory Demographics

CLIA Number: 39D2259855

Facility Name: TRILOGY WELLNESS LLC

Facility Address:
2526 MONROEVILLE BLVD SUITE 102
MONROEVILLE, PA
ZIP 15146
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Facility Phone Number: 724 968-9448

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1114598935

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	39D2259855
LAB Type	Community Clinic
Facility Name	TRILOGY WELLNESS LLC
Street	2526 MONROEVILLE BLVD SUITE 102
City	MONROEVILLE
State	PA
ZIP	15146
Phone	724 968-9448
CertificateType	4
CertificateEffectiveDate	5/12/2022
CertificateExpirationDate	5/11/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024