36D2302411 CLIA NUMBER - TOLEDO CLINIC CANCER CENTERS OREGON

Laboratory Demographics

  • CLIA Code: 36D2302411
  • Facility Name: TOLEDO CLINIC CANCER CENTERS OREGON
  • Facility Address: 4330 NAVARRE AVE STE 103
    OREGON, OH
    ZIP 43616
  • Facility Phone: 567 402-4490
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD PHINNEY
  • NPI Number: 1518019587
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 36D2302411
LAB Type Physician Office
Facility Name TOLEDO CLINIC CANCER CENTERS OREGON
Street 4330 NAVARRE AVE STE 103
City OREGON
State OH
ZIP 43616
Phone 567 402-4490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Physician Office
Lab Director RICHARD PHINNEY

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