18D2315825 CLIA NUMBER - SERENITY RANCH RECOVERY

Laboratory Demographics

  • CLIA Code: 18D2315825
  • Facility Name: SERENITY RANCH RECOVERY
  • Facility Address: 7415 NOLIN DAM RD
    MAMMOTH CAVE, KY
    ZIP 42259
  • Facility Phone: 817 797-1407
  • Facility Type: Other - DETOX MEDICAL FACILITY
  • Facility Type: Waiver
  • Lab Director: MS. JESSICA THOMAS
  • NPI Number: 1164246328
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 18D2315825
LAB Type Other - DETOX MEDICAL FACILITY
Facility Name SERENITY RANCH RECOVERY
Street 7415 NOLIN DAM RD
City MAMMOTH CAVE
State KY
ZIP 42259
Phone 817 797-1407
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Other - DETOX MEDICAL FACILITY
Lab Director MS. JESSICA THOMAS

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