14D2284436 CLIA NUMBER - SERENE WOMEN'S WELLNESS CHRISTINA H DOTHAGER, MD LLC

Laboratory Demographics

  • CLIA Code: 14D2284436
  • Facility Name: SERENE WOMEN'S WELLNESS CHRISTINA H DOTHAGER, MD LLC
  • Facility Address: 2236 VADALABENE DRIVE - SUITE 3
    MARYVILLE, IL
    ZIP 62062
  • Facility Phone: 618 726-2229
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CHRISTINA H. DOTHAGER
  • NPI Number: 1740776251
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 14D2284436
LAB Type Physician Office
Facility Name SERENE WOMEN'S WELLNESS CHRISTINA H DOTHAGER, MD LLC
Street 2236 VADALABENE DRIVE - SUITE 3
City MARYVILLE
State IL
ZIP 62062
Phone 618 726-2229
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Physician Office
Lab Director CHRISTINA H. DOTHAGER

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