45D2198369 CLIA NUMBER - BROOKDALE WAXAHACHIE

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Laboratory Demographics

CLIA Number: 45D2198369

Facility Name: BROOKDALE WAXAHACHIE

Facility Address:
2250 BROWN STREET
WAXAHACHIE, TX
ZIP 75165
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Facility Phone Number: 972 937-2600

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1891851093

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	45D2198369
LAB Type	Assisted Living Facility
Facility Name	BROOKDALE WAXAHACHIE
Street	2250 BROWN STREET
City	WAXAHACHIE
State	TX
ZIP	75165
Phone	972 937-2600
CertificateType	4
CertificateEffectiveDate	11/2/2022
CertificateExpirationDate	11/1/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024