36D1062297 CLIA NUMBER - SHAWNEE ESTATES SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 36D1062297
  • Facility Name: SHAWNEE ESTATES SENIOR LIVING
  • Facility Address: 60 PACELINE CIRCLE
    XENIA, OH
    ZIP 45385
  • Facility Phone: 937 372-1530
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ZONDRA COMPTON
  • NPI Number: 1104325331
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D1062297
LAB Type Assisted Living Facility
Facility Name SHAWNEE ESTATES SENIOR LIVING
Street 60 PACELINE CIRCLE
City XENIA
State OH
ZIP 45385
Phone 937 372-1530
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Assisted Living Facility
Lab Director ZONDRA COMPTON

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