03D0938109 CLIA NUMBER - LHCG LVI, LLC DBA AT HOME HEALTHCARE

Laboratory Demographics

CLIA Number: 03D0938109

Facility Name: LHCG LVI, LLC DBA AT HOME HEALTHCARE

Facility Address:
8249 W THUNDERBIRD RD STE 150
PEORIA, AZ
ZIP 85381
Get Directions

Facility Phone Number: 480 991-3303

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1992111645

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	03D0938109
LAB Type	Home Health Agency
Facility Name	LHCG LVI, LLC DBA AT HOME HEALTHCARE
Street	8249 W THUNDERBIRD RD STE 150
City	PEORIA
State	AZ
ZIP	85381
Phone	480 991-3303
CertificateType	4
CertificateEffectiveDate	12/30/2023
CertificateExpirationDate	12/29/2025
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