10D1012909 CLIA NUMBER - BROOKDALE DESTIN

Laboratory Demographics

  • CLIA Code: 10D1012909
  • Facility Name: BROOKDALE DESTIN
  • Facility Address: 2400 CRYSTAL COVE LN
    DESTIN, FL
    ZIP 32541
  • Facility Phone: 850 267-1600
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: TAMI MILES
  • NPI Number: 1770313223
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1012909
LAB Type Assisted Living Facility
Facility Name BROOKDALE DESTIN
Street 2400 CRYSTAL COVE LN
City DESTIN
State FL
ZIP 32541
Phone 850 267-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2025
Certificate Expiration Date 5/26/2027
Facility Type Assisted Living Facility
Lab Director TAMI MILES

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