10D0940412 CLIA NUMBER - BROOKDALE CROWN POINT

Laboratory Demographics

  • CLIA Code: 10D0940412
  • Facility Name: BROOKDALE CROWN POINT
  • Facility Address: 10050 OLD ST AUGUSTINE ROAD
    JACKSONVILLE, FL
    ZIP 32257
  • Facility Phone: 904 288-8700
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: STEPHANIE MCKINNEY
  • NPI Number: 1114253945
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0940412
LAB Type Other
Facility Name BROOKDALE CROWN POINT
Street 10050 OLD ST AUGUSTINE ROAD
City JACKSONVILLE
State FL
ZIP 32257
Phone 904 288-8700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Other
Lab Director STEPHANIE MCKINNEY

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