23D1006052 CLIA NUMBER - RRC DAVISON

Laboratory Demographics

  • CLIA Code: 23D1006052
  • Facility Name: RRC DAVISON
  • Facility Address: 2031 FAIRWAY DRIVE
    DAVISON, MI
    ZIP 48423
  • Facility Phone: 810 654-0138
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: GENEVIEVE L. SIERMINSKI
  • NPI Number: 1811095250
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1006052
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RRC DAVISON
Street 2031 FAIRWAY DRIVE
City DAVISON
State MI
ZIP 48423
Phone 810 654-0138
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director GENEVIEVE L. SIERMINSKI

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