06D2197822 CLIA NUMBER - BROOKDALE BOULDER CREEK

Home > CLIA Lookup > 06D2197822

Laboratory Demographics

CLIA Number: 06D2197822

Facility Name: BROOKDALE BOULDER CREEK

Facility Address:
3375 34TH ST
BOULDER, CO
ZIP 80301
Get Directions

Facility Phone Number: 303 473-0333

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1346597267

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	06D2197822
LAB Type	Assisted Living Facility
Facility Name	BROOKDALE BOULDER CREEK
Street	3375 34TH ST
City	BOULDER
State	CO
ZIP	80301
Phone	303 473-0333
CertificateType	4
CertificateEffectiveDate	10/28/2022
CertificateExpirationDate	10/27/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024