05D2073865 CLIA NUMBER - SERENITY LODGE

Laboratory Demographics

  • CLIA Code: 05D2073865
  • Facility Name: SERENITY LODGE
  • Facility Address: 985 MEADOW BROOK RD
    LAKE ARROWHEAD, CA
    ZIP 92352
  • Facility Phone: 877 379-4365
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: VALEH S. KARIMKHANI DO
  • NPI Number: 1184914590
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2073865
LAB Type Comp. Outpatient Rehab Facility
Facility Name SERENITY LODGE
Street 985 MEADOW BROOK RD
City LAKE ARROWHEAD
State CA
ZIP 92352
Phone 877 379-4365
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director VALEH S. KARIMKHANI DO

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