50D2230866 CLIA NUMBER - BROOKDALE WALLA WALLA

Laboratory Demographics

CLIA Number: 50D2230866

Facility Name: BROOKDALE WALLA WALLA

Facility Address:
1460 DALLES MILITARY RD
WALLA WALLA, WA
ZIP 99362
Get Directions

Facility Phone Number: 509 525-4990

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1649308495

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	50D2230866
LAB Type	Assisted Living Facility
Facility Name	BROOKDALE WALLA WALLA
Street	1460 DALLES MILITARY RD
City	WALLA WALLA
State	WA
ZIP	99362
Phone	509 525-4990
CertificateType	4
CertificateEffectiveDate	7/28/2021
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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