10D2049772 CLIA NUMBER - SERENITY BEHAVIORAL HEALTH LLC

Laboratory Demographics

  • CLIA Code: 10D2049772
  • Facility Name: SERENITY BEHAVIORAL HEALTH LLC
  • Facility Address: 2303 HOLLYWOOD BLVD STE 12
    HOLLYWOOD, FL
    ZIP 33020
  • Facility Phone: 954 367-7944
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: ANTONIO PELLERITO
  • NPI Number: 1023365624
  • Taxonomy: 103TA0400X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 10D2049772
LAB Type Comp. Outpatient Rehab Facility
Facility Name SERENITY BEHAVIORAL HEALTH LLC
Street 2303 HOLLYWOOD BLVD STE 12
City HOLLYWOOD
State FL
ZIP 33020
Phone 954 367-7944
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2024
Certificate Expiration Date 11/13/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director ANTONIO PELLERITO

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