36D0681323 CLIA NUMBER - VILLA SPRINGFIELD NURSING HOME

Laboratory Demographics

  • CLIA Code: 36D0681323
  • Facility Name: VILLA SPRINGFIELD NURSING HOME
  • Facility Address: 701 VILLA RD
    SPRINGFIELD, OH
    ZIP 45503
  • Facility Phone: 937 399-5551
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEPHEN FEAGINS
  • NPI Number: 1922138098
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0681323
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VILLA SPRINGFIELD NURSING HOME
Street 701 VILLA RD
City SPRINGFIELD
State OH
ZIP 45503
Phone 937 399-5551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director STEPHEN FEAGINS

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