03D0903833 CLIA NUMBER - MAXIM HEALTHCARE SERVICES, INC

Laboratory Demographics

CLIA Number: 03D0903833

Facility Name: MAXIM HEALTHCARE SERVICES, INC

Facility Address:
3300 N CENTRAL AVE, STE 2500
PHOENIX, AZ
ZIP 85012
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Facility Phone Number: 602 216-0110

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1902861776

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	03D0903833
LAB Type	Home Health Agency
Facility Name	MAXIM HEALTHCARE SERVICES, INC
Street	3300 N CENTRAL AVE, STE 2500
City	PHOENIX
State	AZ
ZIP	85012
Phone	602 216-0110
CertificateType	4
CertificateEffectiveDate	7/31/2023
CertificateExpirationDate	7/30/2025
FacilityType	Waiver

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