36D2298637 CLIA NUMBER - KETTERING AFFILIATED HEALTH SERVICES DBA KETTERING HEALTH SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 36D2298637
  • Facility Name: KETTERING AFFILIATED HEALTH SERVICES DBA KETTERING HEALTH SENIOR LIVING
  • Facility Address: 317 SYCAMORE GLEN DR
    MIAMISBURG, OH
    ZIP 45342
  • Facility Phone: 937 866-2984
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JILL LYKINS
  • NPI Number: 1881023885
  • Taxonomy: 310400000X - Assisted Living Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 36D2298637
LAB Type Assisted Living Facility
Facility Name KETTERING AFFILIATED HEALTH SERVICES DBA KETTERING HEALTH SENIOR LIVING
Street 317 SYCAMORE GLEN DR
City MIAMISBURG
State OH
ZIP 45342
Phone 937 866-2984
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2024
Certificate Expiration Date 2/5/2026
Facility Type Assisted Living Facility
Lab Director JILL LYKINS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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