32D0919947 CLIA NUMBER - BROOKDALE PLACE OF ALBUQUERQUE

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Laboratory Demographics

CLIA Number: 32D0919947

Facility Name: BROOKDALE PLACE OF ALBUQUERQUE

Facility Address:
4910 TRAMWAY RIDGE DRIVE
ALBUQUERQUE, NM
ZIP 87111
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Facility Phone Number: 505 271-9600

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1548801517

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	32D0919947
LAB Type	Assisted Living Facility
Facility Name	BROOKDALE PLACE OF ALBUQUERQUE
Street	4910 TRAMWAY RIDGE DRIVE
City	ALBUQUERQUE
State	NM
ZIP	87111
Phone	505 271-9600
CertificateType	4
CertificateEffectiveDate	9/19/2022
CertificateExpirationDate	9/18/2024
FacilityType	Waiver

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