11D2293977 CLIA NUMBER - SERENITY ELITE TESTING

Laboratory Demographics

  • CLIA Code: 11D2293977
  • Facility Name: SERENITY ELITE TESTING
  • Facility Address: 6525 TARA BOULEVARD, SUITE F9-1141
    JONESBORO, GA
    ZIP 30236
  • Facility Phone: 470 456-2145
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: SONYA LOCK
  • NPI Number: 1265480743
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 11D2293977
LAB Type Mobile Laboratory
Facility Name SERENITY ELITE TESTING
Street 6525 TARA BOULEVARD, SUITE F9-1141
City JONESBORO
State GA
ZIP 30236
Phone 470 456-2145
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Mobile Laboratory
Lab Director SONYA LOCK

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