50D2196105 CLIA NUMBER - BROOKDALE HARBOR BAY

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Laboratory Demographics

CLIA Number: 50D2196105

Facility Name: BROOKDALE HARBOR BAY

Facility Address:
9324 N HARBORVIEW DR
GIG HARBOR, WA
ZIP 98332
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Facility Phone Number: 253 858-7790

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1699831040

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	50D2196105
LAB Type	Assisted Living Facility
Facility Name	BROOKDALE HARBOR BAY
Street	9324 N HARBORVIEW DR
City	GIG HARBOR
State	WA
ZIP	98332
Phone	253 858-7790
CertificateType	4
CertificateEffectiveDate	10/14/2020
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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