36D2328180 CLIA NUMBER - BROOKDALE HOMECARE LLC

Laboratory Demographics

  • CLIA Code: 36D2328180
  • Facility Name: BROOKDALE HOMECARE LLC
  • Facility Address: 623 PARK MEADOW ROAD, SUITE D
    WESTERVILLE, OH
    ZIP 43081
  • Facility Phone: 310 270-7253
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARTIAUNA D. CORTES
  • NPI Number: 1326922899
  • Taxonomy: 163WH0200X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 36D2328180
LAB Type Home Health Agency
Facility Name BROOKDALE HOMECARE LLC
Street 623 PARK MEADOW ROAD, SUITE D
City WESTERVILLE
State OH
ZIP 43081
Phone 310 270-7253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2025
Certificate Expiration Date 8/5/2027
Facility Type Home Health Agency
Lab Director MARTIAUNA D. CORTES

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