36D0676642 CLIA NUMBER - KETTERING HEALTH URGENT CARE

Laboratory Demographics

  • CLIA Code: 36D0676642
  • Facility Name: KETTERING HEALTH URGENT CARE
  • Facility Address: 8701 OLD TROY PIKE, SUITE 185
    DAYTON, OH
    ZIP 45424
  • Facility Phone: 937 558-3300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD WINGER
  • NPI Number: 1750784435
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 36D0676642
LAB Type Physician Office
Facility Name KETTERING HEALTH URGENT CARE
Street 8701 OLD TROY PIKE, SUITE 185
City DAYTON
State OH
ZIP 45424
Phone 937 558-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RICHARD WINGER

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This page was last updated on: 9/29/2025