36D0676642 CLIA NUMBER - KETTERING HEALTH URGENT CARE

Laboratory Demographics

CLIA Number: 36D0676642

Facility Name: KETTERING HEALTH URGENT CARE

Facility Address:
8701 OLD TROY PIKE, SUITE 185
DAYTON, OH
ZIP 45424
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Facility Phone Number: 937 558-3300

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1750784435

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024