03D1062152 CLIA NUMBER - BROOKDALE NORTH GILBERT

Laboratory Demographics

CLIA Number: 03D1062152

Facility Name: BROOKDALE NORTH GILBERT

Facility Address:
845 N EL DORADO DR
GILBERT, AZ
ZIP 85233
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Facility Phone Number: 480 539-0801

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1730419466

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	03D1062152
LAB Type	Other
Facility Name	BROOKDALE NORTH GILBERT
Street	845 N EL DORADO DR
City	GILBERT
State	AZ
ZIP	85233
Phone	480 539-0801
CertificateType	4
CertificateEffectiveDate	12/7/2022
CertificateExpirationDate	12/6/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024