36D0981622 CLIA NUMBER - PRIMARY CARE PARTNERS/TOLEDO CLINIC

Laboratory Demographics

  • CLIA Code: 36D0981622
  • Facility Name: PRIMARY CARE PARTNERS/TOLEDO CLINIC
  • Facility Address: 3830 WOODLEY ROAD, UNIT C
    TOLEDO, OH
    ZIP 43606
  • Facility Phone: 419 841-1600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YOUSSEF HAZIMAH
  • NPI Number: 1508872342
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D0981622
LAB Type Physician Office
Facility Name PRIMARY CARE PARTNERS/TOLEDO CLINIC
Street 3830 WOODLEY ROAD, UNIT C
City TOLEDO
State OH
ZIP 43606
Phone 419 841-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director YOUSSEF HAZIMAH

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