45D2207011 CLIA NUMBER - BROOKDALE EDEN ESTATES

Laboratory Demographics

  • CLIA Code: 45D2207011
  • Facility Name: BROOKDALE EDEN ESTATES
  • Facility Address: 1997 FOREST RIDGE DR
    BEDFORD, TX
    ZIP 76021
  • Facility Phone: 817 267-2488
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NAOMI MYERS
  • NPI Number: 1003142944
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2207011
LAB Type Assisted Living Facility
Facility Name BROOKDALE EDEN ESTATES
Street 1997 FOREST RIDGE DR
City BEDFORD
State TX
ZIP 76021
Phone 817 267-2488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2024
Certificate Expiration Date 12/22/2026
Facility Type Assisted Living Facility
Lab Director NAOMI MYERS

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