36D0691752 CLIA NUMBER - KETTERING NETWORK HOME CARE

Laboratory Demographics

  • CLIA Code: 36D0691752
  • Facility Name: KETTERING NETWORK HOME CARE
  • Facility Address: 1050 FORRER BLVD SUITE 105
    KETTERING, OH
    ZIP 45420
  • Facility Phone: 937 299-1111
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BRENDA KUHN
  • NPI Number: 1285634980
  • Taxonomy: 341600000X - Ambulance

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2025
Certificate Expiration Date 6/5/2027
Facility Type Home Health Agency
Lab Director BRENDA KUHN

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