36D2282173 CLIA NUMBER - TOLEDO CLINIC CANCER CENTERS-MAUMEE

Laboratory Demographics

  • CLIA Code: 36D2282173
  • Facility Name: TOLEDO CLINIC CANCER CENTERS-MAUMEE
  • Facility Address: 1200 MEDICAL CENTER PARKWAY SUITE 1100
    MAUMEE, OH
    ZIP 43537
  • Facility Phone: 419 794-7720
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD PHINNEY
  • NPI Number: 1275685240
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2282173
LAB Type Physician Office
Facility Name TOLEDO CLINIC CANCER CENTERS-MAUMEE
Street 1200 MEDICAL CENTER PARKWAY SUITE 1100
City MAUMEE
State OH
ZIP 43537
Phone 419 794-7720
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 RICHARD PHINNEY

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