31D2150960 CLIA NUMBER - SERENITY SENIOR CARE, LLC

Laboratory Demographics

  • CLIA Code: 31D2150960
  • Facility Name: SERENITY SENIOR CARE, LLC
  • Facility Address: 2 BROAD STREET SUITE 208
    BLOOMFIELD, NJ
    ZIP 07003
  • Facility Phone: 973 338-0124
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: WANDA E. INCE
  • NPI Number: 1811106925
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 31D2150960
LAB Type Home Health Agency
Facility Name SERENITY SENIOR CARE, LLC
Street 2 BROAD STREET SUITE 208
City BLOOMFIELD
State NJ
ZIP 07003
Phone 973 338-0124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Home Health Agency
Lab Director WANDA E. INCE

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