36D0976117 CLIA NUMBER - TODD FORREST DO LLC

Laboratory Demographics

  • CLIA Code: 36D0976117
  • Facility Name: TODD FORREST DO LLC
  • Facility Address: 119 CLINTON STREET
    MAUMEE, OH
    ZIP 43537
  • Facility Phone: 419 893-8985
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TODD R. FORREST DO
  • NPI Number: 1356523740
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0976117
LAB Type Physician Office
Facility Name TODD FORREST DO LLC
Street 119 CLINTON STREET
City MAUMEE
State OH
ZIP 43537
Phone 419 893-8985
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Physician Office
Lab Director TODD R. FORREST DO

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