44D2125449 CLIA NUMBER - TRINITY MEDICAL SERVICES

Laboratory Demographics

CLIA Number: 44D2125449

Facility Name: TRINITY MEDICAL SERVICES

Facility Address:
106 FERRELL AVE SUITE 5
KINGSPORT, TN
ZIP 37663
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Facility Phone Number: 423 239-0099

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1891109609

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	44D2125449
LAB Type	Physician Office
Facility Name	TRINITY MEDICAL SERVICES
Street	106 FERRELL AVE SUITE 5
City	KINGSPORT
State	TN
ZIP	37663
Phone	423 239-0099
CertificateType	4
CertificateEffectiveDate	2/7/2023
CertificateExpirationDate	2/6/2025
FacilityType	Waiver

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