03D2127432 CLIA NUMBER - BROOKDALE FLAGSTAFF

Laboratory Demographics

  • CLIA Code: 03D2127432
  • Facility Name: BROOKDALE FLAGSTAFF
  • Facility Address: 2100 S WOODLANDS VILLAGE BLVD
    FLAGSTAFF, AZ
    ZIP 86001
  • Facility Phone: 928 779-7045
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LESLIE A. PAQUETTE
  • NPI Number: 1043422801
  • Taxonomy: 310400000X - Assisted Living Facility

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2025
Certificate Expiration Date 3/13/2027
Facility Type Assisted Living Facility
Lab Director LESLIE A. PAQUETTE

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