23D2301951 CLIA NUMBER - RUSHTON RECOVERY LLC

Laboratory Demographics

  • CLIA Code: 23D2301951
  • Facility Name: RUSHTON RECOVERY LLC
  • Facility Address: 9600 N RUSHTON ROAD
    SOUTH LYON, MI
    ZIP 48178
  • Facility Phone: 734 604-0411
  • Facility Type: Other - SUBSTANCE ABUSE
  • Facility Type: Waiver
  • Lab Director: SHYLAJA KHATIWALA
  • NPI Number: 1780452565
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2301951
LAB Type Other - SUBSTANCE ABUSE
Facility Name RUSHTON RECOVERY LLC
Street 9600 N RUSHTON ROAD
City SOUTH LYON
State MI
ZIP 48178
Phone 734 604-0411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Other - SUBSTANCE ABUSE
Lab Director SHYLAJA KHATIWALA

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