45D1030671 CLIA NUMBER - TRINITY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 45D1030671
  • Facility Name: TRINITY MEDICAL CENTER
  • Facility Address: 1190 N HASKELL AVENUE
    DALLAS, TX
    ZIP 75204
  • Facility Phone: 214 281-8687
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER CHUN
  • NPI Number: 1326826553
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 45D1030671
LAB Type Ambulatory Surgery Center
Facility Name TRINITY MEDICAL CENTER
Street 1190 N HASKELL AVENUE
City DALLAS
State TX
ZIP 75204
Phone 214 281-8687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Ambulatory Surgery Center
Lab Director CHRISTOPHER CHUN

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