10D0994288 CLIA NUMBER - BROOKDALE MELBOURNE

Laboratory Demographics

  • CLIA Code: 10D0994288
  • Facility Name: BROOKDALE MELBOURNE
  • Facility Address: 1765 W HIBISCUS BLVD
    MELBOURNE, FL
    ZIP 32901
  • Facility Phone: 321 733-7111
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: AMANDA LEWETZKI
  • NPI Number: 1992832018
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0994288
LAB Type Other
Facility Name BROOKDALE MELBOURNE
Street 1765 W HIBISCUS BLVD
City MELBOURNE
State FL
ZIP 32901
Phone 321 733-7111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2023
Certificate Expiration Date 12/10/2025
Facility Type Other
Lab Director AMANDA LEWETZKI

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