10D1017281 CLIA NUMBER - BROOKDALE ORANGE PARK

Laboratory Demographics

  • CLIA Code: 10D1017281
  • Facility Name: BROOKDALE ORANGE PARK
  • Facility Address: 1248 KINGLSEY AVE
    ORANGE PARK, FL
    ZIP 32073
  • Facility Phone: (904) 264-0207
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: IRIS BROWN
  • NPI Number: 1508074733
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1017281
LAB Type Assisted Living Facility
Facility Name BROOKDALE ORANGE PARK
Street 1248 KINGLSEY AVE
City ORANGE PARK
State FL
ZIP 32073
Phone 9042640207
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Assisted Living Facility
Lab Director IRIS BROWN

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This page was last updated on: 5/18/2026