03D1080016 CLIA NUMBER - LHCG CLXXI, LLC DBA CASA DE LA LUZ EAST VALLEY

Laboratory Demographics

  • CLIA Code: 03D1080016
  • Facility Name: LHCG CLXXI, LLC DBA CASA DE LA LUZ EAST VALLEY
  • Facility Address: 1840 S STAPLEY DR STE 225
    MESA, AZ
    ZIP 85204
  • Facility Phone: 480 801-2416
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LISA REUTER
  • NPI Number: 1407458532
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 03D1080016
LAB Type Hospice
Facility Name LHCG CLXXI, LLC DBA CASA DE LA LUZ EAST VALLEY
Street 1840 S STAPLEY DR STE 225
City MESA
State AZ
ZIP 85204
Phone 480 801-2416
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Hospice
Lab Director LISA REUTER

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