CLIA lab
CLIA 36D0995655: Good Shepherd Village
Springfield, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0995655 belongs to Good Shepherd Village in Springfield, OH.
Certificate of Waiver, effective January 28, 2026, expires January 27, 2028.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 28, 2026
- Certificate expiration
- January 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 28, 2002
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 36D0995655
- Lab name
- Good Shepherd Village
- Address
- 422 North Burnett Road, Springfield, OH 45503
- Phone
- (937) 322-1911
- Fax
- (937) 322-8606
Annual test volume the lab reported
- Waived tests
- 3,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Good Shepherd VillageCMS Care Compare ratings for the facility at the same street address
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- Brookdale Buck CreekCertificate of Waiver, Assisted living facility36D2054350
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- Champion City Home Health Care LLCCertificate of Waiver, Home health agency36D2255404
Related
Questions
What is the CLIA number for Good Shepherd Village in Springfield?
36D0995655, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Good Shepherd Village hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0995655 expire?
The CMS file lists January 27, 2028 as the certificate expiration date; the certificate took effect January 28, 2026.