23D2173464 CLIA NUMBER - LIVONIA DIALYSIS

Laboratory Demographics

  • CLIA Code: 23D2173464
  • Facility Name: LIVONIA DIALYSIS
  • Facility Address: 37290 5 MILE ROAD
    LIVONIA, MI
    ZIP 48154
  • Facility Phone: 734 793-9854
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SOPHIA K. ARUNSELVAN
  • NPI Number: 1023650926
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 23D2173464
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name LIVONIA DIALYSIS
Street 37290 5 MILE ROAD
City LIVONIA
State MI
ZIP 48154
Phone 734 793-9854
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/15/2025
Certificate Expiration Date 10/14/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SOPHIA K. ARUNSELVAN

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