03D0912337 CLIA NUMBER - NIGHTINGALE NURSES INC DBA NIGHTINGALE HOMECARE

Laboratory Demographics

  • CLIA Code: 03D0912337
  • Facility Name: NIGHTINGALE NURSES INC DBA NIGHTINGALE HOMECARE
  • Facility Address: 2411 W ROSE GARDEN LN #110
    PHOENIX, AZ
    ZIP 85027
  • Facility Phone: 602 504-1555
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JEAN L. GONYNOR
  • NPI Number: 1366543449
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 03D0912337
LAB Type Home Health Agency
Facility Name NIGHTINGALE NURSES INC DBA NIGHTINGALE HOMECARE
Street 2411 W ROSE GARDEN LN #110
City PHOENIX
State AZ
ZIP 85027
Phone 602 504-1555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2024
Certificate Expiration Date 2/28/2026
Facility Type Home Health Agency
Lab Director JEAN L. GONYNOR

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