10D0956155 CLIA NUMBER - BROOKDALE FORT MYERS CYPRESS LAKE

Laboratory Demographics

  • CLIA Code: 10D0956155
  • Facility Name: BROOKDALE FORT MYERS CYPRESS LAKE
  • Facility Address: 7460 LAKE BREEZE DR
    FORT MYERS, FL
    ZIP 33907
  • Facility Phone: 239 454-4100
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ANGELA L. HALL
  • NPI Number: 1174851570
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0956155
LAB Type Assisted Living Facility
Facility Name BROOKDALE FORT MYERS CYPRESS LAKE
Street 7460 LAKE BREEZE DR
City FORT MYERS
State FL
ZIP 33907
Phone 239 454-4100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Assisted Living Facility
Lab Director ANGELA L. HALL

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