36D0669865 CLIA NUMBER - PROMEDICA PHYSICIANS MAUMEE OBSTETRICS/GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 36D0669865
  • Facility Name: PROMEDICA PHYSICIANS MAUMEE OBSTETRICS/GYNECOLOGY
  • Facility Address: 660 BEAVER CREEK CIRCLE SUITE 200
    MAUMEE, OH
    ZIP 43537
  • Facility Phone: 419 891-6201
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAYNA F. MOHAMMADIONE
  • NPI Number: 1477694891
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 36D0669865
LAB Type Physician Office
Facility Name PROMEDICA PHYSICIANS MAUMEE OBSTETRICS/GYNECOLOGY
Street 660 BEAVER CREEK CIRCLE SUITE 200
City MAUMEE
State OH
ZIP 43537
Phone 419 891-6201
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director DAYNA F. MOHAMMADIONE

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