11D2117647 CLIA NUMBER - SERENITY GROVE

Laboratory Demographics

  • CLIA Code: 11D2117647
  • Facility Name: SERENITY GROVE
  • Facility Address: 315 NEWTON BRIDGE ROAD
    ATHENS, GA
    ZIP 30607
  • Facility Phone: 706 389-5157
  • Facility Type: Other - IOP & ADDICTION TREATENT
  • Facility Type: Waiver
  • Lab Director: JERRY N. VEAL
  • NPI Number: 1811442312
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 11D2117647
LAB Type Other - IOP & ADDICTION TREATENT
Facility Name SERENITY GROVE
Street 315 NEWTON BRIDGE ROAD
City ATHENS
State GA
ZIP 30607
Phone 706 389-5157
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Other - IOP & ADDICTION TREATENT
Lab Director JERRY N. VEAL

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