CLIA lab
CLIA 36D0966788: Kettering Health Medical Group
Fairfield Township, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D0966788 belongs to Kettering Health Medical Group in Fairfield Township, OH.
Certificate of Waiver, effective July 27, 2025, expires July 26, 2027.
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
- July 27, 2025
- Certificate expiration
- July 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 26, 1999
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 36D0966788
- Lab name
- Kettering Health Medical Group
- Additional name
- Primary Care
- Address
- 5964 Golf Club Ln, Fairfield Township, OH 45011
- Phone
- (513) 893-1100
- Fax
- (513) 893-1128
Annual test volume the lab reported
- Waived tests
- 1,930
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Kettering Health Medical Group in Fairfield Township?
36D0966788, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kettering Health Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 36D0966788 expire?
The CMS file lists July 26, 2027 as the certificate expiration date; the certificate took effect July 27, 2025.