03D1031282 CLIA NUMBER - HORIZON HOME HEALTH OF PHOENIX, LLC

Laboratory Demographics

CLIA Number: 03D1031282

Facility Name: HORIZON HOME HEALTH OF PHOENIX, LLC

Facility Address:
2720 E THOMAS RD STE B-270
PHOENIX, AZ
ZIP 85016
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Facility Phone Number: 480 894-5113

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1114279528

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D1031282
LAB Type	Home Health Agency
Facility Name	HORIZON HOME HEALTH OF PHOENIX, LLC
Street	2720 E THOMAS RD STE B-270
City	PHOENIX
State	AZ
ZIP	85016
Phone	480 894-5113
CertificateType	4
CertificateEffectiveDate	9/28/2022
CertificateExpirationDate	9/27/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024