45D2198811 CLIA NUMBER - BROOKDALE COLLIN OAKS

Laboratory Demographics

  • CLIA Code: 45D2198811
  • Facility Name: BROOKDALE COLLIN OAKS
  • Facility Address: 4045 W 15TH ST
    PLANO, TX
    ZIP 75093
  • Facility Phone: 972 519-0480
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: DEBBIE MASTEN
  • NPI Number: 1356553994
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2198811
LAB Type Assisted Living Facility
Facility Name BROOKDALE COLLIN OAKS
Street 4045 W 15TH ST
City PLANO
State TX
ZIP 75093
Phone 972 519-0480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Assisted Living Facility
Lab Director DEBBIE MASTEN

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