36D2116707 CLIA NUMBER - TOLEDO CLINIC - HUMAIRA LATEEF, MD

Laboratory Demographics

  • CLIA Code: 36D2116707
  • Facility Name: TOLEDO CLINIC - HUMAIRA LATEEF, MD
  • Facility Address: 4126 N HOLLAND-SYLVANIA, #140
    TOLEDO, OH
    ZIP 43623
  • Facility Phone: 567 455-6728
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HUMAIRA K. LATEEF
  • NPI Number: 1669423455
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2116707
LAB Type Physician Office
Facility Name TOLEDO CLINIC - HUMAIRA LATEEF, MD
Street 4126 N HOLLAND-SYLVANIA, #140
City TOLEDO
State OH
ZIP 43623
Phone 567 455-6728
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 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Physician Office
Lab Director HUMAIRA K. LATEEF

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