23D0670003 CLIA NUMBER - SOUTH LYON SENIOR CARE AND REHAB CENTER LLC

Laboratory Demographics

  • CLIA Code: 23D0670003
  • Facility Name: SOUTH LYON SENIOR CARE AND REHAB CENTER LLC
  • Facility Address: 700 REYNOLD SWEET PARKWAY
    SOUTH LYON, MI
    ZIP 48178
  • Facility Phone: 248 437-2048
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: HARRY SLATER
  • NPI Number: 1710036835
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 23D0670003
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTH LYON SENIOR CARE AND REHAB CENTER LLC
Street 700 REYNOLD SWEET PARKWAY
City SOUTH LYON
State MI
ZIP 48178
Phone 248 437-2048
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director HARRY SLATER

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