36D0966776 CLIA NUMBER - PROMEDICA LABORATORIES (TTH)

Laboratory Demographics

  • CLIA Code: 36D0966776
  • Facility Name: PROMEDICA LABORATORIES (TTH)
  • Facility Address: 2142 N COVE BLVD
    TOLEDO, OH
    ZIP 43606
  • Facility Phone: 419 291-4134
  • Facility Type: Hospital
  • Facility Type: Microscopy
  • Lab Director: RONGJUN P. GUO
  • NPI Number: 1952880577
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 36D0966776
LAB Type Hospital
Facility Name PROMEDICA LABORATORIES (TTH)
Street 2142 N COVE BLVD
City TOLEDO
State OH
ZIP 43606
Phone 419 291-4134
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 12/2/2024
Certificate Expiration Date 12/1/2026
Facility Type Hospital
Lab Director RONGJUN P. GUO

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