42D0994138 CLIA NUMBER - BROOKDALE SOUTHPOINTE DRIVE

Laboratory Demographics

  • CLIA Code: 42D0994138
  • Facility Name: BROOKDALE SOUTHPOINTE DRIVE
  • Facility Address: 23 SOUTHPOINTE DR
    GREENVILLE, SC
    ZIP 29607
  • Facility Phone: 864 675-0220
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LARINDA COOLEY
  • NPI Number: 1619192465
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D0994138
LAB Type Other
Facility Name BROOKDALE SOUTHPOINTE DRIVE
Street 23 SOUTHPOINTE DR
City GREENVILLE
State SC
ZIP 29607
Phone 864 675-0220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Other
Lab Director LARINDA COOLEY

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