03D1021745 CLIA NUMBER - CASA DE LA LUZ HOSPICE, INPATIENT UNIT

Laboratory Demographics

  • CLIA Code: 03D1021745
  • Facility Name: CASA DE LA LUZ HOSPICE, INPATIENT UNIT
  • Facility Address: 5830 N FOUNTAINS AVE, BLDG 2
    TUCSON, AZ
    ZIP 85704
  • Facility Phone: 520 544-9890
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: AGNES POORE, RN
  • NPI Number: 1386619799
  • Taxonomy: 315D00000X - Hospice, Inpatient

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CLIA Record

Field Name Field Value
CLIA Number 03D1021745
LAB Type Hospice
Facility Name CASA DE LA LUZ HOSPICE, INPATIENT UNIT
Street 5830 N FOUNTAINS AVE, BLDG 2
City TUCSON
State AZ
ZIP 85704
Phone 520 544-9890
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2024
Certificate Expiration Date 1/29/2026
Facility Type Hospice
Lab Director AGNES POORE, RN

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