11D0991776 CLIA NUMBER - EMERITUS AT COURTYARD GARDENS DBA BROOKDALE SENIOR LIVING

Laboratory Demographics

CLIA Number: 11D0991776

Facility Name: EMERITUS AT COURTYARD GARDENS DBA BROOKDALE SENIOR LIVING

Facility Address:
1000 RIVER CENTRE PLACE
LAWRENCEVILLE, GA
ZIP 30043
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Facility Phone Number: 770 963-9934

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1255020517

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	11D0991776
LAB Type	Other
Facility Name	EMERITUS AT COURTYARD GARDENS DBA BROOKDALE SENIOR LIVING
Street	1000 RIVER CENTRE PLACE
City	LAWRENCEVILLE
State	GA
ZIP	30043
Phone	770 963-9934
CertificateType	4
CertificateEffectiveDate	9/27/2023
CertificateExpirationDate	9/26/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024