06D0973510 CLIA NUMBER - BROOKSIDE INN

Laboratory Demographics

  • CLIA Code: 06D0973510
  • Facility Name: BROOKSIDE INN
  • Facility Address: 1297 S PERRY ST
    CASTLE ROCK, CO
    ZIP 80104
  • Facility Phone: 303 688-2500
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHERYL PALMER
  • NPI Number: 1124029053
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D0973510
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BROOKSIDE INN
Street 1297 S PERRY ST
City CASTLE ROCK
State CO
ZIP 80104
Phone 303 688-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHERYL PALMER

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