45D2203805 CLIA NUMBER - BROOKDALE SIKES LAKE

Laboratory Demographics

  • CLIA Code: 45D2203805
  • Facility Name: BROOKDALE SIKES LAKE
  • Facility Address: 2649 PLAZA PKWY
    WICHITA FALLS, TX
    ZIP 76308
  • Facility Phone: 940 696-1351
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KRISI N. ALLEN
  • NPI Number: 1326267279
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2203805
LAB Type Assisted Living Facility
Facility Name BROOKDALE SIKES LAKE
Street 2649 PLAZA PKWY
City WICHITA FALLS
State TX
ZIP 76308
Phone 940 696-1351
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2024
Certificate Expiration Date 12/5/2026
Facility Type Assisted Living Facility
Lab Director KRISI N. ALLEN

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