37D2312085 CLIA NUMBER - SERENITY HEALTH SOLUTIONS LLC

Laboratory Demographics

  • CLIA Code: 37D2312085
  • Facility Name: SERENITY HEALTH SOLUTIONS LLC
  • Facility Address: 109 N 1ST ST
    PONCA CITY, OK
    ZIP 74601
  • Facility Phone: 316 600-0477
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MICHELLE A. FORD
  • NPI Number: 1700653060
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 37D2312085
LAB Type Practitioner Other
Facility Name SERENITY HEALTH SOLUTIONS LLC
Street 109 N 1ST ST
City PONCA CITY
State OK
ZIP 74601
Phone 316 600-0477
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Practitioner Other
Lab Director MICHELLE A. FORD

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