03D1060971 CLIA NUMBER - BROOKDALE BAYWOOD

Laboratory Demographics

  • CLIA Code: 03D1060971
  • Facility Name: BROOKDALE BAYWOOD
  • Facility Address: 310 S 63RD STREET
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 985-5778
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: AMY CASTILLO
  • NPI Number: 1851696934
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D1060971
LAB Type Other
Facility Name BROOKDALE BAYWOOD
Street 310 S 63RD STREET
City MESA
State AZ
ZIP 85206
Phone 480 985-5778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2024
Certificate Expiration Date 11/6/2026
Facility Type Other
Lab Director AMY CASTILLO

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