05D2215443 CLIA NUMBER - BROOKDALE FOLSOM

Laboratory Demographics

  • CLIA Code: 05D2215443
  • Facility Name: BROOKDALE FOLSOM
  • Facility Address: 780 HARRINGTON WAY
    FOLSOM, CA
    ZIP 95630
  • Facility Phone: 916 983-9300
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: LUKE WATSON
  • NPI Number: 1134457559
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2215443
LAB Type Assisted Living Facility
Facility Name BROOKDALE FOLSOM
Street 780 HARRINGTON WAY
City FOLSOM
State CA
ZIP 95630
Phone 916 983-9300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Assisted Living Facility
Lab Director LUKE WATSON

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