15D2099333 CLIA NUMBER - SERENITY CLINIC

Laboratory Demographics

  • CLIA Code: 15D2099333
  • Facility Name: SERENITY CLINIC
  • Facility Address: 515 N BRADNER AVE
    MARION, IN
    ZIP 46952
  • Facility Phone: 765 664-8000
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: TRINA L. GREENWALD
  • NPI Number: 1245574516
  • Taxonomy: 103TC0700X - Psychologist

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CLIA Record

Field Name Field Value
CLIA Number 15D2099333
LAB Type Practitioner Other
Facility Name SERENITY CLINIC
Street 515 N BRADNER AVE
City MARION
State IN
ZIP 46952
Phone 765 664-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Practitioner Other
Lab Director TRINA L. GREENWALD

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