15D2107173 CLIA NUMBER - SERENITY SURGICAL, LLC

Laboratory Demographics

  • CLIA Code: 15D2107173
  • Facility Name: SERENITY SURGICAL, LLC
  • Facility Address: 8840 CALUMET AVE, STE 104
    MUNSTER, IN
    ZIP 46321
  • Facility Phone: 219 836-7246
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: SHANU KONDAMURI
  • NPI Number: 1073987053
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2107173
LAB Type Ambulatory Surgery Center
Facility Name SERENITY SURGICAL, LLC
Street 8840 CALUMET AVE, STE 104
City MUNSTER
State IN
ZIP 46321
Phone 219 836-7246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2024
Certificate Expiration Date 1/6/2026
Facility Type Ambulatory Surgery Center
Lab Director SHANU KONDAMURI

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