36D2261640 CLIA NUMBER - PEKOSC

Laboratory Demographics

  • CLIA Code: 36D2261640
  • Facility Name: PEKOSC
  • Facility Address: 7634 W CENTRAL AVE
    TOLEDO, OH
    ZIP 43617
  • Facility Phone: 567 408-7356
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PETER KOLTZ
  • NPI Number: 1851050736
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2261640
LAB Type Ambulatory Surgery Center
Facility Name PEKOSC
Street 7634 W CENTRAL AVE
City TOLEDO
State OH
ZIP 43617
Phone 567 408-7356
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Ambulatory Surgery Center
Lab Director PETER KOLTZ

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