36D0908065 CLIA NUMBER - OAKLEAF VILLAGE TOLEDO LTD

Laboratory Demographics

  • CLIA Code: 36D0908065
  • Facility Name: OAKLEAF VILLAGE TOLEDO LTD
  • Facility Address: 4220 HOLLAND SYLVANIA ROAD
    TOLEDO, OH
    ZIP 43623
  • Facility Phone: 419 885-3934
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: THERESA HUBBELL
  • NPI Number: 1629224563
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 36D0908065
LAB Type Other
Facility Name OAKLEAF VILLAGE TOLEDO LTD
Street 4220 HOLLAND SYLVANIA ROAD
City TOLEDO
State OH
ZIP 43623
Phone 419 885-3934
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/30/2023
Certificate Expiration Date 10/29/2025
Facility Type Other
Lab Director THERESA HUBBELL

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