CLIA lab
CLIA 05D2073865: Serenity Lodge
Lake Arrowhead, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2073865 belongs to Serenity Lodge in Lake Arrowhead, CA.
Certificate of Waiver, effective January 13, 2025, expires January 12, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 13, 2025
- Certificate expiration
- January 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 25, 2014
- Facility type
- Comprehensive outpatient rehab facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D2073865
- Lab name
- Serenity Lodge
- Address
- 985 Meadow Brook Rd, Lake Arrowhead, CA 92352
- Phone
- (877) 379-4365
- Fax
- (909) 693-5127
Annual test volume the lab reported
- Waived tests
- 6,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Lake Arrowhead, CA
- Martin Rocha MD IncCertificate of Waiver, Physician office05D1036276
- Mountains Community HospitalCertificate of Accreditation, Hospital05D0643187
- Mountains Community HospitalCertificate of Waiver, Rural health clinic05D0703816
- Mountains Community Hospital SkilledCertificate of Waiver, Skilled nursing or nursing facility05D0898196
- W Maier IncCertificate of Waiver, Physician office05D0986240
Related
Questions
What is the CLIA number for Serenity Lodge in Lake Arrowhead?
05D2073865, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Serenity Lodge hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2073865 expire?
The CMS file lists January 12, 2027 as the certificate expiration date; the certificate took effect January 13, 2025.