36D0331332 CLIA NUMBER - MERCY HEALTH ST LUKES UROGYNECOLOGY & PELVIC REHABILITATION

Laboratory Demographics

  • CLIA Code: 36D0331332
  • Facility Name: MERCY HEALTH ST LUKES UROGYNECOLOGY & PELVIC REHABILITATION
  • Facility Address: 6005 MONCLOVA RD SUITE 320
    MAUMEE, OH
    ZIP 43537
  • Facility Phone: 419 893-7134
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDREW J. CROAK
  • NPI Number: 1407886674
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0331332
LAB Type Physician Office
Facility Name MERCY HEALTH ST LUKES UROGYNECOLOGY & PELVIC REHABILITATION
Street 6005 MONCLOVA RD SUITE 320
City MAUMEE
State OH
ZIP 43537
Phone 419 893-7134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ANDREW J. CROAK

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