36D2163958 CLIA NUMBER - SHILOH MEDICAL SERVICES

Laboratory Demographics

  • CLIA Code: 36D2163958
  • Facility Name: SHILOH MEDICAL SERVICES
  • Facility Address: 5748 ST RT 13 N
    GREENWICH, OH
    ZIP 44837
  • Facility Phone: 419 908-8003
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: CHAD A. KAUFMAN
  • NPI Number: 1477026722
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2163958
LAB Type Rural Health Clinic
Facility Name SHILOH MEDICAL SERVICES
Street 5748 ST RT 13 N
City GREENWICH
State OH
ZIP 44837
Phone 419 908-8003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Rural Health Clinic
Lab Director CHAD A. KAUFMAN

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