45D2165415 CLIA NUMBER - BROOKDALE HOLLYWOOD PARK

Laboratory Demographics

  • CLIA Code: 45D2165415
  • Facility Name: BROOKDALE HOLLYWOOD PARK
  • Facility Address: 16911 SAN PEDRO
    HOLLYWOOD PARK, TX
    ZIP 78232
  • Facility Phone: 210 495-9340
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KATHRIN MILLER
  • NPI Number: 1083940571
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2165415
LAB Type Assisted Living Facility
Facility Name BROOKDALE HOLLYWOOD PARK
Street 16911 SAN PEDRO
City HOLLYWOOD PARK
State TX
ZIP 78232
Phone 210 495-9340
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2025
Certificate Expiration Date 4/25/2027
Facility Type Assisted Living Facility
Lab Director KATHRIN MILLER

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