CLIA lab

CLIA 36D2275740: Kettering Health Medical Group

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

CLIA number 36D2275740 belongs to Kettering Health Medical Group in Centerville, OH.

Certificate of Waiver, effective January 27, 2025, expires January 26, 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
January 27, 2025
Certificate expiration
January 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 27, 2023
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
36D2275740
Lab name
Kettering Health Medical Group
Additional name
Cardiovascular
Address
1023 S Main St, Suite 200, Centerville, OH 45458
Phone
(937) 424-0012
Fax
(937) 424-0077

Annual test volume the lab reported

Waived tests
100

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

Affiliated CLIA numbers

Other labs in Centerville, OH

Related

Questions

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

36D2275740, 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 36D2275740 expire?

The CMS file lists January 26, 2027 as the certificate expiration date; the certificate took effect January 27, 2025.

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