45D2193908 CLIA NUMBER - BROOKDALE CREEKSIDE

Laboratory Demographics

  • CLIA Code: 45D2193908
  • Facility Name: BROOKDALE CREEKSIDE
  • Facility Address: 2000 W SPRINGCREEK PKWY
    PLANO, TX
    ZIP 75023
  • Facility Phone: 972 312-9993
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: REBECCA A. COVERT
  • NPI Number: 1821324773
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2193908
LAB Type Assisted Living Facility
Facility Name BROOKDALE CREEKSIDE
Street 2000 W SPRINGCREEK PKWY
City PLANO
State TX
ZIP 75023
Phone 972 312-9993
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Assisted Living Facility
Lab Director REBECCA A. COVERT

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