10D1083521 CLIA NUMBER - BROOKDALE PALMER RANCH

Laboratory Demographics

  • CLIA Code: 10D1083521
  • Facility Name: BROOKDALE PALMER RANCH
  • Facility Address: 5111 PALMER RANCH PKWY
    SARASOTA, FL
    ZIP 34238
  • Facility Phone: 941 926-1966
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KIM HABERKORN
  • NPI Number: 1215350715
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 10D1083521
LAB Type Assisted Living Facility
Facility Name BROOKDALE PALMER RANCH
Street 5111 PALMER RANCH PKWY
City SARASOTA
State FL
ZIP 34238
Phone 941 926-1966
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Assisted Living Facility
Lab Director KIM HABERKORN

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