10D0961539 CLIA NUMBER - BROOKDALE NORTHDALE

Laboratory Demographics

  • CLIA Code: 10D0961539
  • Facility Name: BROOKDALE NORTHDALE
  • Facility Address: 3401 BEARSS AVE
    TAMPA, FL
    ZIP 33618
  • Facility Phone: 813 961-1044
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DIANE MAIORANOO
  • NPI Number: 1932437332
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0961539
LAB Type Other
Facility Name BROOKDALE NORTHDALE
Street 3401 BEARSS AVE
City TAMPA
State FL
ZIP 33618
Phone 813 961-1044
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Other
Lab Director DIANE MAIORANOO

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