03D2122690 CLIA NUMBER - BROOKDALE SPRINGS MESA

Laboratory Demographics

  • CLIA Code: 03D2122690
  • Facility Name: BROOKDALE SPRINGS MESA
  • Facility Address: 6220 E BROADWAY RD
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 985-8900
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: GARRETT R. JONES
  • NPI Number: 1851696934
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2122690
LAB Type Assisted Living Facility
Facility Name BROOKDALE SPRINGS MESA
Street 6220 E BROADWAY RD
City MESA
State AZ
ZIP 85206
Phone 480 985-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2024
Certificate Expiration Date 6/13/2026
Facility Type Assisted Living Facility
Lab Director GARRETT R. JONES

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This page was last updated on: 3/20/2025