36D0971461 CLIA NUMBER - PROMEDICA PHYSICIANS FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 36D0971461
  • Facility Name: PROMEDICA PHYSICIANS FAMILY MEDICINE
  • Facility Address: 3020 N MCCORD RD, STE 200
    TOLEDO, OH
    ZIP 43615
  • Facility Phone: 419 843-3349
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARRY CONLAN
  • NPI Number: 1750368643
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0971461
LAB Type Physician Office
Facility Name PROMEDICA PHYSICIANS FAMILY MEDICINE
Street 3020 N MCCORD RD, STE 200
City TOLEDO
State OH
ZIP 43615
Phone 419 843-3349
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Physician Office
Lab Director BARRY CONLAN

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