10D0994506 CLIA NUMBER - BROOKDALE LAKE MARY

Laboratory Demographics

  • CLIA Code: 10D0994506
  • Facility Name: BROOKDALE LAKE MARY
  • Facility Address: 150 MIDDLE ST
    LAKE MARY, FL
    ZIP 32746
  • Facility Phone: 407 321-7550
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: TAMMY CAIN
  • NPI Number: 1184834228
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D0994506
LAB Type Other
Facility Name BROOKDALE LAKE MARY
Street 150 MIDDLE ST
City LAKE MARY
State FL
ZIP 32746
Phone 407 321-7550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/24/2023
Certificate Expiration Date 12/23/2025
Facility Type Other
Lab Director TAMMY CAIN

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