36D2005092 CLIA NUMBER - KETTERING HEALTH MATERNAL FETAL MEDICINE

Laboratory Demographics

  • CLIA Code: 36D2005092
  • Facility Name: KETTERING HEALTH MATERNAL FETAL MEDICINE
  • Facility Address: 7756 WASHINGTON VILLAGE DR STE 145
    CENTERVILLE, OH
    ZIP 45459
  • Facility Phone: 937 610-3220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNETTE BOMBRYS
  • NPI Number: 1790233195
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 36D2005092
LAB Type Physician Office
Facility Name KETTERING HEALTH MATERNAL FETAL MEDICINE
Street 7756 WASHINGTON VILLAGE DR STE 145
City CENTERVILLE
State OH
ZIP 45459
Phone 937 610-3220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Physician Office
Lab Director ANNETTE BOMBRYS

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