03D0873208 CLIA NUMBER - SUNCREST HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 03D0873208
  • Facility Name: SUNCREST HEALTHCARE CENTER
  • Facility Address: 2211 EAST SOUTHERN AVE
    PHOENIX, AZ
    ZIP 85040
  • Facility Phone: 602 243-7134
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DAVID W. DERUSHIA
  • NPI Number: 1326495789
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D0873208
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SUNCREST HEALTHCARE CENTER
Street 2211 EAST SOUTHERN AVE
City PHOENIX
State AZ
ZIP 85040
Phone 602 243-7134
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2025
Certificate Expiration Date 7/11/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DAVID W. DERUSHIA

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