36D2324611 CLIA NUMBER - PROMEDICA PHYSICIANS CARDIOLOGY

Laboratory Demographics

  • CLIA Code: 36D2324611
  • Facility Name: PROMEDICA PHYSICIANS CARDIOLOGY
  • Facility Address: 5300 HARROUN ROAD, SUITE 304
    SYLVANIA, OH
    ZIP 43560
  • Facility Phone: 419 842-3057
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM COLYER
  • NPI Number: 1588091292
  • Taxonomy: 363L00000X - Nurse Practitioner

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2324611
LAB Type Physician Office
Facility Name PROMEDICA PHYSICIANS CARDIOLOGY
Street 5300 HARROUN ROAD, SUITE 304
City SYLVANIA
State OH
ZIP 43560
Phone 419 842-3057
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/28/2025
Certificate Expiration Date 5/27/2027
Facility Type Physician Office
Lab Director WILLIAM COLYER

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