10D0984488 CLIA NUMBER - BROOKDALE DR PHILLIPS AL

Laboratory Demographics

CLIA Number: 10D0984488

Facility Name: BROOKDALE DR PHILLIPS AL

Facility Address:
8001 PIN OAK DRIVE
ORLANDO, FL
ZIP 32819
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Facility Phone Number: 407 903-1808

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1538858030

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	10D0984488
LAB Type	Assisted Living Facility
Facility Name	BROOKDALE DR PHILLIPS AL
Street	8001 PIN OAK DRIVE
City	ORLANDO
State	FL
ZIP	32819
Phone	407 903-1808
CertificateType	4
CertificateEffectiveDate	3/22/2023
CertificateExpirationDate	3/21/2025
FacilityType	Waiver

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