03D2127432 CLIA NUMBER - BROOKDALE FLAGSTAFF

Laboratory Demographics

CLIA Number: 03D2127432

Facility Name: BROOKDALE FLAGSTAFF

Facility Address:
2100 S WOODLANDS VILLAGE BLVD
FLAGSTAFF, AZ
ZIP 86001
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Facility Phone Number: (928) 779-7045

Facility Type: ASSISTED LIVING FACILITY

Certificate Type: Waiver

NPI Number: 1043422801

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	03D2127432
LAB Type	ASSISTED LIVING FACILITY
Facility Name	BROOKDALE FLAGSTAFF
Street	2100 S WOODLANDS VILLAGE BLVD
City	FLAGSTAFF
State	AZ
ZIP	86001
Phone	(928) 779-7045

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This page was last updated on: 5/11/2023