36D2293319 CLIA NUMBER - RAY RECOVERY

Laboratory Demographics

  • CLIA Code: 36D2293319
  • Facility Name: RAY RECOVERY
  • Facility Address: 1737 GEORGETOWN RD SUITE H/I
    HUDSON, OH
    ZIP 44236
  • Facility Phone: 212 461-4729
  • Facility Type: Other - OUTPT D&A FACILITY
  • Facility Type: Waiver
  • Lab Director: RIAZ RAHMEN
  • NPI Number: 1285315259
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 36D2293319
LAB Type Other - OUTPT D&A FACILITY
Facility Name RAY RECOVERY
Street 1737 GEORGETOWN RD SUITE H/I
City HUDSON
State OH
ZIP 44236
Phone 212 461-4729
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Other - OUTPT D&A FACILITY
Lab Director RIAZ RAHMEN

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