36D2328589 CLIA NUMBER - TOLEDO CLINIC FAMILY MEDICINE - DR MUSHKBAR

Laboratory Demographics

  • CLIA Code: 36D2328589
  • Facility Name: TOLEDO CLINIC FAMILY MEDICINE - DR MUSHKBAR
  • Facility Address: 4417 HOLLAND SYLVANIA ROAD, SUITE C
    TOLEDO, OH
    ZIP 43623
  • Facility Phone: 419 517-7687
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAUDIA MUSHKBAR
  • NPI Number: 1356493118
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 36D2328589
LAB Type Physician Office
Facility Name TOLEDO CLINIC FAMILY MEDICINE - DR MUSHKBAR
Street 4417 HOLLAND SYLVANIA ROAD, SUITE C
City TOLEDO
State OH
ZIP 43623
Phone 419 517-7687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/13/2025
Certificate Expiration Date 8/12/2027
Facility Type Physician Office
Lab Director SAUDIA MUSHKBAR

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