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

Laboratory Demographics

  • CLIA Code: 03D0938109
  • Facility Name: LHCG LVI, LLC DBA AT HOME HEALTHCARE
  • Facility Address: 8249 W THUNDERBIRD RD STE 150
    PEORIA, AZ
    ZIP 85381
  • Facility Phone: 480 991-3303
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SARA DORMAN
  • NPI Number: 1992111645
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/30/2023
Certificate Expiration Date 12/29/2025
Facility Type Home Health Agency
Lab Director SARA DORMAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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