23D1095642 CLIA NUMBER - RIVERWOOD DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D1095642
  • Facility Name: RIVERWOOD DIALYSIS
  • Facility Address: 24467 WEST 10 MILE ROAD
    SOUTHFIELD, MI
    ZIP 48033
  • Facility Phone: 248 352-3127
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IRAN A. REHMAN
  • NPI Number: 1083861959
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D1095642
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RIVERWOOD DIALYSIS
Street 24467 WEST 10 MILE ROAD
City SOUTHFIELD
State MI
ZIP 48033
Phone 248 352-3127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2025
Certificate Expiration Date 2/11/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director IRAN A. REHMAN

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