03D2005324 CLIA NUMBER - SELECT HOME CARE, LLC

Laboratory Demographics

  • CLIA Code: 03D2005324
  • Facility Name: SELECT HOME CARE, LLC
  • Facility Address: 3014 N HAYDEN RD, STE 107
    SCOTTSDALE, AZ
    ZIP 85251
  • Facility Phone: 480 946-2233
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DAVID CHACKO
  • NPI Number: 1841516556
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2005324
LAB Type Home Health Agency
Facility Name SELECT HOME CARE, LLC
Street 3014 N HAYDEN RD, STE 107
City SCOTTSDALE
State AZ
ZIP 85251
Phone 480 946-2233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Home Health Agency
Lab Director DAVID CHACKO

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