36D0909955 CLIA NUMBER - NORTHWOOD ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 36D0909955
  • Facility Name: NORTHWOOD ASSISTED LIVING
  • Facility Address: 3001 MIDDLE URBANA ROAD
    SPRINGFIELD, OH
    ZIP 45502
  • Facility Phone: 937 399-7009
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: CARRIE L. WOOTEN
  • NPI Number: 1881078129
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0909955
LAB Type Other
Facility Name NORTHWOOD ASSISTED LIVING
Street 3001 MIDDLE URBANA ROAD
City SPRINGFIELD
State OH
ZIP 45502
Phone 937 399-7009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Other
Lab Director CARRIE L. WOOTEN

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