CLIA lab
CLIA 36D1097047: Kettering Health Medical Group
Centerville, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1097047 belongs to Kettering Health Medical Group in Centerville, OH.
Certificate of Waiver, effective March 17, 2025, expires March 16, 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
- March 17, 2025
- Certificate expiration
- March 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 17, 2009
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 36D1097047
- Lab name
- Kettering Health Medical Group
- Additional name
- Urogynecology
- Address
- 7740 Washington Village Drive, Suite 160, Centerville, OH 45459
- Phone
- (937) 436-9825
- Fax
- (937) 433-6508
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Centerville, OH
- American Dermatopathology LaboratoryCertificate of Compliance, Independent36D2072045
- Amy Brenner MD & AssociatesCertificate of Waiver, Physician office36D2328868
- Anew Behavioral Health, LLCCertificate of Waiver, Other36D2344279
- Associated Specialists of InternalCertificate of Waiver, Physician office36D0957368
- Austin Trace Health and RehabilitationCertificate of Waiver, Skilled nursing or nursing facility36D2155527
- Bethany VillageCertificate of Waiver, Assisted living facility36D0688379
- Centerville Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office36D0034023
- Centerville Post AcuteCertificate of Waiver, Skilled nursing or nursing facility36D0931410
- Centerville Primary CareCertificate of Waiver, Prison36D2308862
- Cincinnati Children's Hospital CentervilleCertificate of Waiver, Physician office36D2274286
Related
Questions
What is the CLIA number for Kettering Health Medical Group in Centerville?
36D1097047, 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 36D1097047 expire?
The CMS file lists March 16, 2027 as the certificate expiration date; the certificate took effect March 17, 2025.