03D2046595 CLIA NUMBER - BROOKDALE NORTH SCOTTSDALE

Laboratory Demographics

  • CLIA Code: 03D2046595
  • Facility Name: BROOKDALE NORTH SCOTTSDALE
  • Facility Address: 15436 N 64TH ST
    SCOTTSDALE, AZ
    ZIP 85254
  • Facility Phone: 480 948-6950
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SHAWN HALLA
  • NPI Number: 1821534744
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2046595
LAB Type Assisted Living Facility
Facility Name BROOKDALE NORTH SCOTTSDALE
Street 15436 N 64TH ST
City SCOTTSDALE
State AZ
ZIP 85254
Phone 480 948-6950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Assisted Living Facility
Lab Director SHAWN HALLA

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