36D2209244 CLIA NUMBER - SPRINGFIELD MASONIC COMMUNITY

Laboratory Demographics

  • CLIA Code: 36D2209244
  • Facility Name: SPRINGFIELD MASONIC COMMUNITY
  • Facility Address: 2655 WEST NATIONAL RD
    SPRINGFIELD, OH
    ZIP 45504
  • Facility Phone: 937 525-3067
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: CHRISTINE B. WELLER
  • NPI Number: 1467850305
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 36D2209244
LAB Type Assisted Living Facility
Facility Name SPRINGFIELD MASONIC COMMUNITY
Street 2655 WEST NATIONAL RD
City SPRINGFIELD
State OH
ZIP 45504
Phone 937 525-3067
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Assisted Living Facility
Lab Director CHRISTINE B. WELLER

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