03D1002773 CLIA NUMBER - ASSISTED HOME HEALTH

Laboratory Demographics

  • CLIA Code: 03D1002773
  • Facility Name: ASSISTED HOME HEALTH
  • Facility Address: 1420 E MISSOURI AVE STE 101
    PHOENIX, AZ
    ZIP 85014
  • Facility Phone: 480 860-2345
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: WILLIAM RAJALA
  • NPI Number: 1710930250
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 03D1002773
LAB Type Home Health Agency
Facility Name ASSISTED HOME HEALTH
Street 1420 E MISSOURI AVE STE 101
City PHOENIX
State AZ
ZIP 85014
Phone 480 860-2345
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Home Health Agency
Lab Director WILLIAM RAJALA

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