23D2310382 CLIA NUMBER - KALAMAZOO TC OPERATOR LLC DBA ENLIGHTENED RECOVERY

Laboratory Demographics

  • CLIA Code: 23D2310382
  • Facility Name: KALAMAZOO TC OPERATOR LLC DBA ENLIGHTENED RECOVERY
  • Facility Address: 1430 ALAMO AVENUE
    KALAMAZOO, MI
    ZIP 49006
  • Facility Phone: 269 216-4250
  • Facility Type: Other - SUB ACUTE SUD REHAB INPAT
  • Facility Type: Waiver
  • Lab Director: ANDREW YOUSSOUF
  • NPI Number: 1427803089
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 23D2310382
LAB Type Other - SUB ACUTE SUD REHAB INPAT
Facility Name KALAMAZOO TC OPERATOR LLC DBA ENLIGHTENED RECOVERY
Street 1430 ALAMO AVENUE
City KALAMAZOO
State MI
ZIP 49006
Phone 269 216-4250
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Other - SUB ACUTE SUD REHAB INPAT
Lab Director ANDREW YOUSSOUF

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