CLIA lab

CLIA 36D2120452: Kettering Health Medical Group

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

CLIA number 36D2120452 belongs to Kettering Health Medical Group in Troy, OH.

Certificate of Waiver, effective October 18, 2026, expires October 17, 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 of Waiver
Certificate effective
October 18, 2026
Certificate expiration
October 17, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 18, 2016
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
36D2120452
Lab name
Kettering Health Medical Group
Additional name
Cardiovascular
Address
600 West Main St, Suite 330, Troy, OH 45373
Phone
(937) 980-7400
Fax
(937) 980-7441

Annual test volume the lab reported

Waived tests
480

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 Troy?

36D2120452, 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 36D2120452 expire?

The CMS file lists October 17, 2028 as the certificate expiration date; the certificate took effect October 18, 2026.

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