36D0991013 CLIA NUMBER - NORTHWOOD SKILLED NURSING AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 36D0991013
  • Facility Name: NORTHWOOD SKILLED NURSING AND REHABILITATION
  • Facility Address: 2000 VILLA ROAD
    SPRINGFIELD, OH
    ZIP 45503
  • Facility Phone: 937 399-7009
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MELISSA S. THIERGART
  • NPI Number: 1851775118
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0991013
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name NORTHWOOD SKILLED NURSING AND REHABILITATION
Street 2000 VILLA ROAD
City SPRINGFIELD
State OH
ZIP 45503
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 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MELISSA S. THIERGART

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