36D2213920 CLIA NUMBER - GREAT LAKES VASCULAR INSTITUTE

Laboratory Demographics

  • CLIA Code: 36D2213920
  • Facility Name: GREAT LAKES VASCULAR INSTITUTE
  • Facility Address: 3439 GRANITE CIRCLE, STE #200
    TOLEDO, OH
    ZIP 43617
  • Facility Phone: 419 517-1000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MUNIER NAZZAI
  • NPI Number: 1568706810
  • Taxonomy: 231H00000X - Audiologist

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CLIA Record

Field Name Field Value
CLIA Number 36D2213920
LAB Type Ambulatory Surgery Center
Facility Name GREAT LAKES VASCULAR INSTITUTE
Street 3439 GRANITE CIRCLE, STE #200
City TOLEDO
State OH
ZIP 43617
Phone 419 517-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Ambulatory Surgery Center
Lab Director MUNIER NAZZAI

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