10D0967348 CLIA NUMBER - BROOKDALE JENSEN BEACH

Laboratory Demographics

  • CLIA Code: 10D0967348
  • Facility Name: BROOKDALE JENSEN BEACH
  • Facility Address: 1700 NE INDIAN RIVER DR
    JENSEN BEACH, FL
    ZIP 34957
  • Facility Phone: 772 225-1355
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: SUSAN NORRIS
  • NPI Number: 1447427703
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0967348
LAB Type Other
Facility Name BROOKDALE JENSEN BEACH
Street 1700 NE INDIAN RIVER DR
City JENSEN BEACH
State FL
ZIP 34957
Phone 772 225-1355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Other
Lab Director SUSAN NORRIS

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