36D0691752 CLIA NUMBER - KETTERING NETWORK HOME CARE

Laboratory Demographics

CLIA Number: 36D0691752

Facility Name: KETTERING NETWORK HOME CARE

Facility Address:
1050 FORRER BLVD SUITE 105
KETTERING, OH
ZIP 45420
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Facility Phone Number: 937 299-1111

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1285634980

Taxonomy: 341600000X - Ambulance
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).

CLIA Record

Field Name	Field Value
CLIA Number	36D0691752
LAB Type	Home Health Agency
Facility Name	KETTERING NETWORK HOME CARE
Street	1050 FORRER BLVD SUITE 105
City	KETTERING
State	OH
ZIP	45420
Phone	937 299-1111
CertificateType	4
CertificateEffectiveDate	6/6/2023
CertificateExpirationDate	6/5/2025
FacilityType	Waiver

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