36D2036277 CLIA NUMBER - TOLEDO CLINIC HOLLAND - SYLVANIA LABORATORY

Laboratory Demographics

  • CLIA Code: 36D2036277
  • Facility Name: TOLEDO CLINIC HOLLAND - SYLVANIA LABORATORY
  • Facility Address: 4126 N HOLLAND-SYLVANIA RD STE 110
    TOLEDO, OH
    ZIP 43623
  • Facility Phone: 419 474-2622
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Accreditation
  • Lab Director: STACIE L. ROSHONGDENK
  • NPI Number: 1255483038
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 36D2036277
LAB Type Ancillary Testing Site in Health Care Center
Facility Name TOLEDO CLINIC HOLLAND - SYLVANIA LABORATORY
Street 4126 N HOLLAND-SYLVANIA RD STE 110
City TOLEDO
State OH
ZIP 43623
Phone 419 474-2622
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director STACIE L. ROSHONGDENK

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