23D0671088 CLIA NUMBER - RHEMA-SOUTHGATE OPERATING LLC

Laboratory Demographics

  • CLIA Code: 23D0671088
  • Facility Name: RHEMA-SOUTHGATE OPERATING LLC
  • Facility Address: 15400 TRENTON ROAD
    SOUTHGATE, MI
    ZIP 48195
  • Facility Phone: 734 284-4620
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MICHAEL N. MWATHI
  • NPI Number: 1487602959
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D0671088
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RHEMA-SOUTHGATE OPERATING LLC
Street 15400 TRENTON ROAD
City SOUTHGATE
State MI
ZIP 48195
Phone 734 284-4620
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 MICHAEL N. MWATHI

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