36D2101440 CLIA NUMBER - SPRINGVALE HEALTH CENTERS AKA COMMUNITY FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 36D2101440
  • Facility Name: SPRINGVALE HEALTH CENTERS AKA COMMUNITY FAMILY HEALTH CENTER
  • Facility Address: 204 S BELLEVUE AVE
    DOVER, OH
    ZIP 44622
  • Facility Phone: 330 365-1781
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: SHANNONE L. KOCH
  • NPI Number: 1467779397
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 36D2101440
LAB Type Federally Qualified Health Center
Facility Name SPRINGVALE HEALTH CENTERS AKA COMMUNITY FAMILY HEALTH CENTER
Street 204 S BELLEVUE AVE
City DOVER
State OH
ZIP 44622
Phone 330 365-1781
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Federally Qualified Health Center
Lab Director SHANNONE L. KOCH

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