03D0945168 CLIA NUMBER - BROOKDALE TRAIL RIDGE

Laboratory Demographics

  • CLIA Code: 03D0945168
  • Facility Name: BROOKDALE TRAIL RIDGE
  • Facility Address: 21739 N 151ST AVENUE
    SUN CITY WEST, AZ
    ZIP 85375
  • Facility Phone: 623 546-3650
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARGARET KIMANI
  • NPI Number: 1194947887
  • Taxonomy: 311500000X - Alzheimer Center (Dementia Center)

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CLIA Record

Field Name Field Value
CLIA Number 03D0945168
LAB Type Assisted Living Facility
Facility Name BROOKDALE TRAIL RIDGE
Street 21739 N 151ST AVENUE
City SUN CITY WEST
State AZ
ZIP 85375
Phone 623 546-3650
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Assisted Living Facility
Lab Director MARGARET KIMANI

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