23D2110353 CLIA NUMBER - SKYWOOD RECOVERY

Laboratory Demographics

  • CLIA Code: 23D2110353
  • Facility Name: SKYWOOD RECOVERY
  • Facility Address: 10499 N 48TH STREET
    AUGUSTA, MI
    ZIP 49012
  • Facility Phone: 269 282-7700
  • Facility Type: Other - INPATIENT SUBSTANCE ABUSE
  • Facility Type: Waiver
  • Lab Director: LORI BURKE
  • NPI Number: 1427411008
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2110353
LAB Type Other - INPATIENT SUBSTANCE ABUSE
Facility Name SKYWOOD RECOVERY
Street 10499 N 48TH STREET
City AUGUSTA
State MI
ZIP 49012
Phone 269 282-7700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Other - INPATIENT SUBSTANCE ABUSE
Lab Director LORI BURKE

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