45D2205264 CLIA NUMBER - BROOKDALE WESTERN HILLS

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Laboratory Demographics

CLIA Number: 45D2205264

Facility Name: BROOKDALE WESTERN HILLS

Facility Address:
3902 W ADAMS AVE
TEMPLE, TX
ZIP 76504
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Facility Phone Number: 254 791-8000

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1205992492

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	45D2205264
LAB Type	Assisted Living Facility
Facility Name	BROOKDALE WESTERN HILLS
Street	3902 W ADAMS AVE
City	TEMPLE
State	TX
ZIP	76504
Phone	254 791-8000
CertificateType	4
CertificateEffectiveDate	12/14/2022
CertificateExpirationDate	12/13/2024
FacilityType	Waiver

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