36D2133043 CLIA NUMBER - MIDWEST DETOX CENTER DBA OHIO DETOX CENTER

Laboratory Demographics

  • CLIA Code: 36D2133043
  • Facility Name: MIDWEST DETOX CENTER DBA OHIO DETOX CENTER
  • Facility Address: 1760 MANLEY ROAD
    MAUMEE, OH
    ZIP 43537
  • Facility Phone: 443 450-9347
  • Facility Type: Other - SUD TREATMENT FACILITY
  • Facility Type: Waiver
  • Lab Director: VAHID OSMAN
  • NPI Number: 1003337734
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2133043
LAB Type Other - SUD TREATMENT FACILITY
Facility Name MIDWEST DETOX CENTER DBA OHIO DETOX CENTER
Street 1760 MANLEY ROAD
City MAUMEE
State OH
ZIP 43537
Phone 443 450-9347
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Other - SUD TREATMENT FACILITY
Lab Director VAHID OSMAN

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