36D2232079 CLIA NUMBER - MIDWEST DETOX CENTER

Laboratory Demographics

  • CLIA Code: 36D2232079
  • Facility Name: MIDWEST DETOX CENTER
  • Facility Address: 1757 INDIAN WOOD CIRCLE
    MAUMEE, OH
    ZIP 43537
  • Facility Phone: (419) 509-7214
  • Facility Type: Other - SUBSTANCE ABUSE RESIDENTI
  • Facility Type: Waiver
  • Lab Director: VAHID OSMAN
  • NPI Number: 1003337734
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2232079
LAB Type Other - SUBSTANCE ABUSE RESIDENTI
Facility Name MIDWEST DETOX CENTER
Street 1757 INDIAN WOOD CIRCLE
City MAUMEE
State OH
ZIP 43537
Phone 4195097214
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Other - SUBSTANCE ABUSE RESIDENTI
Lab Director VAHID OSMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 5/18/2026