03D2306343 CLIA NUMBER - SERENITY HOME HEALTH, LLC

Laboratory Demographics

  • CLIA Code: 03D2306343
  • Facility Name: SERENITY HOME HEALTH, LLC
  • Facility Address: 5059 S LAKEWOOD RD, #B1
    FORT MOHAVE, AZ
    ZIP 86426
  • Facility Phone: 928 788-0027
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JOHN HASSETT
  • NPI Number: 1154002889
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2306343
LAB Type Home Health Agency
Facility Name SERENITY HOME HEALTH, LLC
Street 5059 S LAKEWOOD RD, #B1
City FORT MOHAVE
State AZ
ZIP 86426
Phone 928 788-0027
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Home Health Agency
Lab Director JOHN HASSETT

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