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36D0877813 CLIA NUMBER - REGENCY UROLOGICAL ASSOCIATES, INC ATTN SANDY PASZCZYKOWSKI

Laboratory Demographics

CLIA Number: 36D0877813

Facility Name: REGENCY UROLOGICAL ASSOCIATES, INC ATTN SANDY PASZCZYKOWSKI

Facility Address:
2000 REGENCY COURT SUITE 200
TOLEDO, OH
ZIP 43623
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Facility Phone Number: 419 725-1900

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1265565550

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 36D0877813
LAB Type Physician Office
Facility Name REGENCY UROLOGICAL ASSOCIATES, INC ATTN SANDY PASZCZYKOWSKI
Street 2000 REGENCY COURT SUITE 200
City TOLEDO
State OH
ZIP 43623
Phone 419 725-1900
CertificateType 4
CertificateEffectiveDate 11/15/2022
CertificateExpirationDate 11/14/2024
FacilityType Waiver

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