36D0978455 CLIA NUMBER - KETTERING HOME CARE

Laboratory Demographics

  • CLIA Code: 36D0978455
  • Facility Name: KETTERING HOME CARE
  • Facility Address: 1050 FORRER BLVD SUITE 100
    KETTERING, OH
    ZIP 45420
  • Facility Phone: 937 299-1111
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MANDY YOUNG
  • NPI Number: 1770735268
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 36D0978455
LAB Type Home Health Agency
Facility Name KETTERING HOME CARE
Street 1050 FORRER BLVD SUITE 100
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 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Home Health Agency
Lab Director MANDY YOUNG

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