36D2141916 CLIA NUMBER - STAYHOME IWILL LLC

Laboratory Demographics

  • CLIA Code: 36D2141916
  • Facility Name: STAYHOME IWILL LLC
  • Facility Address: 2230 WEST LASKEY ROAD
    TOLEDO, OH
    ZIP 43613
  • Facility Phone: 419 214-1213
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RADHARAMANAMURTHY GOKULA
  • NPI Number: 1023562279
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2141916
LAB Type Physician Office
Facility Name STAYHOME IWILL LLC
Street 2230 WEST LASKEY ROAD
City TOLEDO
State OH
ZIP 43613
Phone 419 214-1213
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/27/2023
Certificate Expiration Date 12/26/2025
Facility Type Physician Office
Lab Director RADHARAMANAMURTHY GOKULA

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