CLIA lab
CLIA 36D1103112: Kettering Health Medical Group
Xenia, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D1103112 belongs to Kettering Health Medical Group in Xenia, OH.
Certificate of Waiver, effective August 3, 2025, expires August 2, 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
- August 3, 2025
- Certificate expiration
- August 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 3, 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
- 36D1103112
- Lab name
- Kettering Health Medical Group
- Additional name
- Primary Care
- Address
- 1157 N Monroe Drive, Suite 200, Xenia, OH 45385
- Phone
- (937) 374-4042
- Fax
- (937) 374-4031
Annual test volume the lab reported
- Waived tests
- 1,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Xenia, OH
- Anew Behavioral Health, LLCCertificate of Waiver, Other36D2344325
- Anew Behavioral Health, LLCCertificate of Registration, Physician office36D2347188
- CG Medical Associates, IncCertificate of Waiver, Physician office36D2298175
- Dayton Children's Health and WellnessCertificate of Waiver, Community clinic36D2262668
- Decoach Rehabilitation CentreCertificate of Waiver, Physician office36D2130008
- Emerge Recovery and Trades InitiativeCertificate of Waiver, Other practitioner36D2279334
- FHS Beavercreek IncCertificate of Waiver, Skilled nursing or nursing facility36D2330095
- Greene County Combined HealthCertificate of Waiver, Public health laboratory36D0348869
- Greene County JailCertificate of Waiver, Other36D2252044
- Harmony Center for RehabilitationCertificate of Waiver, Skilled nursing or nursing facility36D0665029
Related
Questions
What is the CLIA number for Kettering Health Medical Group in Xenia?
36D1103112, 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 36D1103112 expire?
The CMS file lists August 2, 2027 as the certificate expiration date; the certificate took effect August 3, 2025.