45D2195998 CLIA NUMBER - BROOKDALE SHERWOOD

Laboratory Demographics

  • CLIA Code: 45D2195998
  • Facility Name: BROOKDALE SHERWOOD
  • Facility Address: 3939 EAST 52ND STREET
    ODESSA, TX
    ZIP 79762
  • Facility Phone: 432 362-5006
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MYLEAH FREDERICK
  • NPI Number: 1134340029
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2195998
LAB Type Assisted Living Facility
Facility Name BROOKDALE SHERWOOD
Street 3939 EAST 52ND STREET
City ODESSA
State TX
ZIP 79762
Phone 432 362-5006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Assisted Living Facility
Lab Director MYLEAH FREDERICK

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