05D2212182 CLIA NUMBER - SERENITY KNOLLS

Laboratory Demographics

  • CLIA Code: 05D2212182
  • Facility Name: SERENITY KNOLLS
  • Facility Address: 145 TAMAL RD IMS OFFICE
    FOREST KNOLLS, CA
    ZIP 94933
  • Facility Phone: 415 488-0400
  • Facility Type: Other - RESIDENTIAL TREATMENT CTR
  • Facility Type: Waiver
  • Lab Director: MARGARET BOURNE
  • NPI Number: 1831337534
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2212182
LAB Type Other - RESIDENTIAL TREATMENT CTR
Facility Name SERENITY KNOLLS
Street 145 TAMAL RD IMS OFFICE
City FOREST KNOLLS
State CA
ZIP 94933
Phone 415 488-0400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2025
Certificate Expiration Date 2/2/2027
Facility Type Other - RESIDENTIAL TREATMENT CTR
Lab Director MARGARET BOURNE

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