23D2043903 CLIA NUMBER - RIVERVIEW DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D2043903
  • Facility Name: RIVERVIEW DIALYSIS
  • Facility Address: 18236 FORT STREET
    RIVERVIEW, MI
    ZIP 48193
  • Facility Phone: 734 283-4513
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SUHDEER UMMADI
  • NPI Number: 1497010474
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2043903
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RIVERVIEW DIALYSIS
Street 18236 FORT STREET
City RIVERVIEW
State MI
ZIP 48193
Phone 734 283-4513
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SUHDEER UMMADI

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