36D0995655 CLIA NUMBER - GOOD SHEPHERD VILLAGE

Laboratory Demographics

  • CLIA Code: 36D0995655
  • Facility Name: GOOD SHEPHERD VILLAGE
  • Facility Address: 422 NORTH BURNETT ROAD
    SPRINGFIELD, OH
    ZIP 45503
  • Facility Phone: (937) 322-1911
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER A. STEFFANNI
  • NPI Number: 1396862314
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D0995655
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GOOD SHEPHERD VILLAGE
Street 422 NORTH BURNETT ROAD
City SPRINGFIELD
State OH
ZIP 45503
Phone 9373221911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2026
Certificate Expiration Date 1/27/2028
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JENNIFER A. STEFFANNI

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This page was last updated on: 5/18/2026