36D1095625 CLIA NUMBER - SPRINGFIELD REGIONAL WOUND CARE CENTER

Laboratory Demographics

  • CLIA Code: 36D1095625
  • Facility Name: SPRINGFIELD REGIONAL WOUND CARE CENTER
  • Facility Address: 362 SOUTH BURNETT ROAD
    SPRINGFIELD, OH
    ZIP 45505
  • Facility Phone: 937 525-2470
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: STEVEN E. CONKEL
  • NPI Number: 1912963810
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D1095625
LAB Type Community Clinic
Facility Name SPRINGFIELD REGIONAL WOUND CARE CENTER
Street 362 SOUTH BURNETT ROAD
City SPRINGFIELD
State OH
ZIP 45505
Phone 937 525-2470
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type Community Clinic
Lab Director STEVEN E. CONKEL

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