36D2282172 CLIA NUMBER - TOLEDO CLINIC CANCER CENTERS-HSR

Laboratory Demographics

  • CLIA Code: 36D2282172
  • Facility Name: TOLEDO CLINIC CANCER CENTERS-HSR
  • Facility Address: 4126 N HOLLAND SYLVANIA AVENUE SUITE 105
    TOLEDO, OH
    ZIP 43623
  • Facility Phone: 419 479-5605
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TIMOTHY KASUNIC
  • NPI Number: 1215368774
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2282172
LAB Type Physician Office
Facility Name TOLEDO CLINIC CANCER CENTERS-HSR
Street 4126 N HOLLAND SYLVANIA AVENUE SUITE 105
City TOLEDO
State OH
ZIP 43623
Phone 419 479-5605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Physician Office
Lab Director TIMOTHY KASUNIC

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: 9/29/2025