CLIA lab

CLIA 36D2021052: Kettering Health Medical Group

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

CLIA number 36D2021052 belongs to Kettering Health Medical Group in Miamisburg, OH.

Certificate of Waiver, effective March 4, 2025, expires March 3, 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 4, 2025
Certificate expiration
March 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 4, 2011
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
36D2021052
Lab name
Kettering Health Medical Group
Additional name
Pain Management
Address
4000 Miamisburg-Centerville Rd, Suite 410, Physician Office Building, Miamisburg, OH 45342
Phone
(937) 384-4511
Fax
(937) 384-4501

Annual test volume the lab reported

Waived tests
150

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

Other labs in Miamisburg, OH

Related

Questions

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

36D2021052, 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 36D2021052 expire?

The CMS file lists March 3, 2027 as the certificate expiration date; the certificate took effect March 4, 2025.

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