03D2008687 CLIA NUMBER - HOSPICE OF THE WEST

Laboratory Demographics

  • CLIA Code: 03D2008687
  • Facility Name: HOSPICE OF THE WEST
  • Facility Address: 21410 N 19TH AVE STE 100
    PHOENIX, AZ
    ZIP 85027
  • Facility Phone: 602 343-6422
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JENNIFER ORTIZ
  • NPI Number: 1992714778
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2008687
LAB Type Hospice
Facility Name HOSPICE OF THE WEST
Street 21410 N 19TH AVE STE 100
City PHOENIX
State AZ
ZIP 85027
Phone 602 343-6422
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Hospice
Lab Director JENNIFER ORTIZ

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This page was last updated on: 3/20/2025