03D0980237 CLIA NUMBER - HACIENDA

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CLIA Record

Field Name Field Value
CLIA Number 03D0980237
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HACIENDA
Street 1402 E SOUTH MOUNTAIN AVE
City PHOENIX
State AZ
ZIP 85040
Phone 602 243-4231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2024
Certificate Expiration Date 1/1/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LORENA BOWERS

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