36D0332186 CLIA NUMBER - TOLEDO CLINIC - INTERNAL MED SMALLWOOD

Laboratory Demographics

CLIA Number: 36D0332186

Facility Name: TOLEDO CLINIC - INTERNAL MED SMALLWOOD

Facility Address:
1850 EASTGATE ROAD SUITE I
TOLEDO, OH
ZIP 43614
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Facility Phone Number: 419 385-5751

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1457346462

Taxonomy: 213E00000X - Podiatrist
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

CLIA Record

Field Name	Field Value
CLIA Number	36D0332186
LAB Type	Physician Office
Facility Name	TOLEDO CLINIC - INTERNAL MED SMALLWOOD
Street	1850 EASTGATE ROAD SUITE I
City	TOLEDO
State	OH
ZIP	43614
Phone	419 385-5751
CertificateType	4
CertificateEffectiveDate	3/1/2023
CertificateExpirationDate	2/28/2025
FacilityType	Waiver

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