03D1097847 CLIA NUMBER - AZ HOME HEALTH LLC

Laboratory Demographics

  • CLIA Code: 03D1097847
  • Facility Name: AZ HOME HEALTH LLC
  • Facility Address: 2929 NORTH 44TH STREET STE 130
    PHOENIX, AZ
    ZIP 85018
  • Facility Phone: 602 820-4953
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: IDA MAY BLANCHETTE
  • NPI Number: 1881167914
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 03D1097847
LAB Type Home Health Agency
Facility Name AZ HOME HEALTH LLC
Street 2929 NORTH 44TH STREET STE 130
City PHOENIX
State AZ
ZIP 85018
Phone 602 820-4953
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Home Health Agency
Lab Director IDA MAY BLANCHETTE

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