07D2070795 CLIA NUMBER - BROOKDALE PLACE OF WEST HARTFORD

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Laboratory Demographics

CLIA Number: 07D2070795

Facility Name: BROOKDALE PLACE OF WEST HARTFORD

Facility Address:
22 SIMSBURY RD
WEST HARTFORD, CT
ZIP 06117
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Facility Phone Number: 860 523-9899

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1992494546

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	07D2070795
LAB Type	Assisted Living Facility
Facility Name	BROOKDALE PLACE OF WEST HARTFORD
Street	22 SIMSBURY RD
City	WEST HARTFORD
State	CT
ZIP	06117
Phone	860 523-9899
CertificateType	4
CertificateEffectiveDate	12/24/2023
CertificateExpirationDate	12/23/2025
FacilityType	Waiver

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