06D2278819 CLIA NUMBER - BROOKDALE BROADMOOR

Laboratory Demographics

  • CLIA Code: 06D2278819
  • Facility Name: BROOKDALE BROADMOOR
  • Facility Address: 615 SOUTHPOINTE COURT
    COLORADO SPRINGS, CO
    ZIP 80906
  • Facility Phone: 719 579-5000
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MARSHALL BROXSON
  • NPI Number: 1700090891
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 06D2278819
LAB Type Assisted Living Facility
Facility Name BROOKDALE BROADMOOR
Street 615 SOUTHPOINTE COURT
City COLORADO SPRINGS
State CO
ZIP 80906
Phone 719 579-5000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Assisted Living Facility
Lab Director MARSHALL BROXSON

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