36D0917842 CLIA NUMBER - HOMESTEAD HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 36D0917842
  • Facility Name: HOMESTEAD HEALTHCARE CENTER
  • Facility Address: 2317 E HOME ROAD
    SPRINGFIELD, OH
    ZIP 45503
  • Facility Phone: 937 399-9217
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LISA CARNES
  • NPI Number: 1932607918
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0917842
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HOMESTEAD HEALTHCARE CENTER
Street 2317 E HOME ROAD
City SPRINGFIELD
State OH
ZIP 45503
Phone 937 399-9217
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2024
Certificate Expiration Date 7/28/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LISA CARNES

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