36D2069289 CLIA NUMBER - SPRINGFIELD ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 36D2069289
  • Facility Name: SPRINGFIELD ASSISTED LIVING
  • Facility Address: 2981 VESTER AVE
    SPRINGFIELD, OH
    ZIP 45503
  • Facility Phone: 937 399-1216
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARGARET PACE
  • NPI Number: 1629569439
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2069289
LAB Type Assisted Living Facility
Facility Name SPRINGFIELD ASSISTED LIVING
Street 2981 VESTER AVE
City SPRINGFIELD
State OH
ZIP 45503
Phone 937 399-1216
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Assisted Living Facility
Lab Director MARGARET PACE

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