36D0332588 CLIA NUMBER - TOLEDO CLINIC INC ATTN DAN TRUMBULL

Laboratory Demographics

  • CLIA Code: 36D0332588
  • Facility Name: TOLEDO CLINIC INC ATTN DAN TRUMBULL
  • Facility Address: 4235 SECOR ROAD TOLEDO CLINIC LAB BLDG #1 LOWER LEVEL
    TOLEDO, OH
    ZIP 43623
  • Facility Phone: 419 479-5445
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. STACIE L. ROSHONG-DENK
  • NPI Number: 1275280125
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 36D0332588
LAB Type Independent
Facility Name TOLEDO CLINIC INC ATTN DAN TRUMBULL
Street 4235 SECOR ROAD TOLEDO CLINIC LAB BLDG #1 LOWER LEVEL
City TOLEDO
State OH
ZIP 43623
Phone 419 479-5445
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Independent
Lab Director DR. STACIE L. ROSHONG-DENK

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