06D2231214 CLIA NUMBER - FLOURISH SUPPORTIVE LIVING AT TEXAS

Laboratory Demographics

CLIA Number: 06D2231214

Facility Name: FLOURISH SUPPORTIVE LIVING AT TEXAS

Facility Address:
9232 W TEXAS DRIVE
LAKEWOOD, CO
ZIP 80232
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Facility Phone Number: 720 601-1404

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1972076958

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	06D2231214
LAB Type	Assisted Living Facility
Facility Name	FLOURISH SUPPORTIVE LIVING AT TEXAS
Street	9232 W TEXAS DRIVE
City	LAKEWOOD
State	CO
ZIP	80232
Phone	720 601-1404
CertificateType	4
CertificateEffectiveDate	7/30/2023
CertificateExpirationDate	7/29/2025
FacilityType	Waiver

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