36D2257555 CLIA NUMBER - PROMEDICA PHYSICIANS VISION ASSOCIATES

Laboratory Demographics

  • CLIA Code: 36D2257555
  • Facility Name: PROMEDICA PHYSICIANS VISION ASSOCIATES
  • Facility Address: 3330 MEIJER DRIVE, STE 1
    TOLEDO, OH
    ZIP 43617
  • Facility Phone: 419 578-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIRAJ SHAH
  • NPI Number: 1043673700
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2257555
LAB Type Physician Office
Facility Name PROMEDICA PHYSICIANS VISION ASSOCIATES
Street 3330 MEIJER DRIVE, STE 1
City TOLEDO
State OH
ZIP 43617
Phone 419 578-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Physician Office
Lab Director NIRAJ SHAH

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