03D2165477 CLIA NUMBER - BROOKDALE CENTRAL PARADISE VALLEY

Laboratory Demographics

  • CLIA Code: 03D2165477
  • Facility Name: BROOKDALE CENTRAL PARADISE VALLEY
  • Facility Address: 13240 N TATUM BLVD
    PHOENIX, AZ
    ZIP 85032
  • Facility Phone: 602 953-3600
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: PENELOPE S. WATKINS
  • NPI Number: 1013138429
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2165477
LAB Type Assisted Living Facility
Facility Name BROOKDALE CENTRAL PARADISE VALLEY
Street 13240 N TATUM BLVD
City PHOENIX
State AZ
ZIP 85032
Phone 602 953-3600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Assisted Living Facility
Lab Director PENELOPE S. WATKINS

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