36D2145320 CLIA NUMBER - SURGERY CENTER AT REGENCY PARK, LLC

Laboratory Demographics

  • CLIA Code: 36D2145320
  • Facility Name: SURGERY CENTER AT REGENCY PARK, LLC
  • Facility Address: 2000 REGENCY COURT SUITE 101
    TOLEDO, OH
    ZIP 43623
  • Facility Phone: 419 885-5706
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KARL LUKETIC
  • NPI Number: 1871574145
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2145320
LAB Type Ambulatory Surgery Center
Facility Name SURGERY CENTER AT REGENCY PARK, LLC
Street 2000 REGENCY COURT SUITE 101
City TOLEDO
State OH
ZIP 43623
Phone 419 885-5706
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Ambulatory Surgery Center
Lab Director KARL LUKETIC

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