CLIA lab
CLIA 36D2255404: Champion City Home Health Care LLC
Springfield, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2255404 belongs to Champion City Home Health Care LLC in Springfield, OH.
Certificate of Waiver, effective March 14, 2026, expires March 13, 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
- March 14, 2026
- Certificate expiration
- March 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 14, 2022
- Facility type
- Home health agency
- 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
- 36D2255404
- Lab name
- Champion City Home Health Care LLC
- Address
- 1030 N Fountain Ave, Springfield, OH 45504
- Phone
- (937) 504-2915
- Fax
- (937) 717-0466
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Champion City Home Health Care LLCCMS Care Compare ratings for the facility at the same street address
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- Cherish - Hospice LLCCertificate of Waiver, Hospice36D2238388
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Questions
What is the CLIA number for Champion City Home Health Care LLC in Springfield?
36D2255404, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Champion City Home Health Care LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D2255404 expire?
The CMS file lists March 13, 2028 as the certificate expiration date; the certificate took effect March 14, 2026.