45D1058659 CLIA NUMBER - BROOKDALE LAKEWAY ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 45D1058659
  • Facility Name: BROOKDALE LAKEWAY ASSISTED LIVING
  • Facility Address: 1915 LOHMANS CROSSING ROAD
    AUSTIN, TX
    ZIP 78734
  • Facility Phone: 512 261-7146
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JAYNE BUCHANAN
  • NPI Number: 1952478653
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D1058659
LAB Type Practitioner Other
Facility Name BROOKDALE LAKEWAY ASSISTED LIVING
Street 1915 LOHMANS CROSSING ROAD
City AUSTIN
State TX
ZIP 78734
Phone 512 261-7146
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Practitioner Other
Lab Director JAYNE BUCHANAN

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This page was last updated on: 6/4/2025