CLIA lab
CLIA 36D2055835: Kettering Health Medical Group
Beavercreek, OH. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 36D2055835 belongs to Kettering Health Medical Group in Beavercreek, OH.
Certificate of Waiver, effective March 18, 2025, expires March 17, 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 18, 2025
- Certificate expiration
- March 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 18, 2013
- 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
- 36D2055835
- Lab name
- Kettering Health Medical Group
- Additional name
- Urology
- Address
- 3535 Pentagon Blvd Ste 320, Beavercreek, OH 45431
- Phone
- (937) 294-1489
- Fax
- (937) 294-7999
Annual test volume the lab reported
- Waived tests
- 5,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Kettering Health Medical Group in Beavercreek?
36D2055835, 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 36D2055835 expire?
The CMS file lists March 17, 2027 as the certificate expiration date; the certificate took effect March 18, 2025.