36D2271959 CLIA NUMBER - SERENITY CHRISTIAN COUNSELING, LLC

Laboratory Demographics

  • CLIA Code: 36D2271959
  • Facility Name: SERENITY CHRISTIAN COUNSELING, LLC
  • Facility Address: 125 S MAIN ST, STE 305
    FOSTORIA, OH
    ZIP 44830
  • Facility Phone: 567 429-1000
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: TECKY A. RUSK
  • NPI Number: 1316432636
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 36D2271959
LAB Type Community Clinic
Facility Name SERENITY CHRISTIAN COUNSELING, LLC
Street 125 S MAIN ST, STE 305
City FOSTORIA
State OH
ZIP 44830
Phone 567 429-1000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2024
Certificate Expiration Date 11/9/2026
Facility Type Community Clinic
Lab Director TECKY A. RUSK

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