45D2218935 CLIA NUMBER - BROOKDALE MIDLAND

Laboratory Demographics

  • CLIA Code: 45D2218935
  • Facility Name: BROOKDALE MIDLAND
  • Facility Address: 1808 WEST LOOP 250 NORTH
    MIDLAND, TX
    ZIP 79705
  • Facility Phone: 432 687-0460
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: MYLEAH FREDERICK
  • NPI Number: 1659595536
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 45D2218935
LAB Type Assisted Living Facility
Facility Name BROOKDALE MIDLAND
Street 1808 WEST LOOP 250 NORTH
City MIDLAND
State TX
ZIP 79705
Phone 432 687-0460
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/31/2025
Certificate Expiration Date 3/30/2027
Facility Type Assisted Living Facility
Lab Director MYLEAH FREDERICK

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