CLIA lab

CLIA 36D1094264: Kettering Health Medical Group

Tipp City, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 36D1094264 belongs to Kettering Health Medical Group in Tipp City, OH.

Certificate for Provider-Performed Microscopy Procedures, effective January 20, 2026, expires January 19, 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 for Provider-Performed Microscopy Procedures
Certificate effective
January 20, 2026
Certificate expiration
January 19, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 14, 2009
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
36D1094264
Lab name
Kettering Health Medical Group
Additional name
Primary Care
Address
70 Weller Dr, Ste 100, Tipp City, OH 45371
Phone
(937) 667-0400
Fax
(937) 506-3991

Annual test volume the lab reported

Waived tests
1,700
Provider-performed microscopy tests
30
Total
1,730

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Tipp City, OH

Related

Questions

What is the CLIA number for Kettering Health Medical Group in Tipp City?

36D1094264, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kettering Health Medical Group hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 36D1094264 expire?

The CMS file lists January 19, 2028 as the certificate expiration date; the certificate took effect January 20, 2026.

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