21D2318596 CLIA NUMBER - SERENITY OUTPATIENT SERVICES

Laboratory Demographics

  • CLIA Code: 21D2318596
  • Facility Name: SERENITY OUTPATIENT SERVICES
  • Facility Address: 9701 APOLLO DRIVE #461
    UPPER MARLBORO, MD
    ZIP 20774
  • Facility Phone: 240 534-3923
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GLORIA A. FOSU
  • NPI Number: 1750931721
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 21D2318596
LAB Type Physician Office
Facility Name SERENITY OUTPATIENT SERVICES
Street 9701 APOLLO DRIVE #461
City UPPER MARLBORO
State MD
ZIP 20774
Phone 240 534-3923
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Physician Office
Lab Director GLORIA A. FOSU

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