11D2081071 CLIA NUMBER - BKD PERSONAL ASSISTANCE SERVICES, LLC DBA BROOKDALE AT HOME ROSWELL

Laboratory Demographics

  • CLIA Code: 11D2081071
  • Facility Name: BKD PERSONAL ASSISTANCE SERVICES, LLC DBA BROOKDALE AT HOME ROSWELL
  • Facility Address: 1000 APPLEWOOD DRIVE
    ROSWELL, GA
    ZIP 30076
  • Facility Phone: 770 594-4616
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: WENDELL PHILLIPS
  • NPI Number: 1093432700
  • Taxonomy: 253Z00000X - In Home Supportive Care

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 11D2081071
LAB Type Home Health Agency
Facility Name BKD PERSONAL ASSISTANCE SERVICES, LLC DBA BROOKDALE AT HOME ROSWELL
Street 1000 APPLEWOOD DRIVE
City ROSWELL
State GA
ZIP 30076
Phone 770 594-4616
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2024
Certificate Expiration Date 7/17/2026
Facility Type Home Health Agency
Lab Director WENDELL PHILLIPS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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