03D2129249 CLIA NUMBER - BROOKDALE PEORIA

Laboratory Demographics

CLIA Number: 03D2129249

Facility Name: BROOKDALE PEORIA

Facility Address:
8989 W GREENBRIAN DRIVE
PEORIA, AZ
ZIP 85382
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Facility Phone Number: (623) 583-1704

Facility Type: ASSISTED LIVING FACILITY

Certificate Type: Waiver

NPI Number: 1982931002

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	03D2129249
LAB Type	ASSISTED LIVING FACILITY
Facility Name	BROOKDALE PEORIA
Street	8989 W GREENBRIAN DRIVE
City	PEORIA
State	AZ
ZIP	85382
Phone	(623) 583-1704

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