03D1004682 CLIA NUMBER - LHCG LVI, LLC DBA AT HOME HEALTHCARE

Laboratory Demographics

  • CLIA Code: 03D1004682
  • Facility Name: LHCG LVI, LLC DBA AT HOME HEALTHCARE
  • Facility Address: 17 W WETMORE RD, SUITE 201
    TUCSON, AZ
    ZIP 85705
  • Facility Phone: 520 498-2288
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: THERESA BARRAZA
  • NPI Number: 1619383361
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 03D1004682
LAB Type Home Health Agency
Facility Name LHCG LVI, LLC DBA AT HOME HEALTHCARE
Street 17 W WETMORE RD, SUITE 201
City TUCSON
State AZ
ZIP 85705
Phone 520 498-2288
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Home Health Agency
Lab Director THERESA BARRAZA

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