36D2255408 CLIA NUMBER - A PEACE OF MIND WELLNESS, LLC

Laboratory Demographics

  • CLIA Code: 36D2255408
  • Facility Name: A PEACE OF MIND WELLNESS, LLC
  • Facility Address: 5734 DOUGLAS ROAD
    TOLEDO, OH
    ZIP 43613
  • Facility Phone: 419 724-1500
  • Facility Type: Other - CMHC, SUD
  • Facility Type: Waiver
  • Lab Director: JENNIFER FACKELMAN
  • NPI Number: 1295320786
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 36D2255408
LAB Type Other - CMHC, SUD
Facility Name A PEACE OF MIND WELLNESS, LLC
Street 5734 DOUGLAS ROAD
City TOLEDO
State OH
ZIP 43613
Phone 419 724-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Other - CMHC, SUD
Lab Director JENNIFER FACKELMAN

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