03D2001358 CLIA NUMBER - HAWTHORN COURT

Laboratory Demographics

  • CLIA Code: 03D2001358
  • Facility Name: HAWTHORN COURT
  • Facility Address: 13822 S 46TH PLACE
    PHOENIX, AZ
    ZIP 85044
  • Facility Phone: 480 598-1224
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: STACEY ALLEN-BEGLEY
  • NPI Number: 1619517356
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2001358
LAB Type Assisted Living Facility
Facility Name HAWTHORN COURT
Street 13822 S 46TH PLACE
City PHOENIX
State AZ
ZIP 85044
Phone 480 598-1224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2024
Certificate Expiration Date 8/8/2026
Facility Type Assisted Living Facility
Lab Director STACEY ALLEN-BEGLEY

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This page was last updated on: 6/4/2025