03D2016329 CLIA NUMBER - VALLEY OF THE SUN HOSPICE DBA SUMMIT HOSPICE

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Laboratory Demographics

CLIA Number: 03D2016329

Facility Name: VALLEY OF THE SUN HOSPICE DBA SUMMIT HOSPICE

Facility Address:
7310 N 16TH ST STE 100
PHOENIX, AZ
ZIP 85020
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Facility Phone Number: 602 535-8255

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1316265432

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2016329
LAB Type	Hospice
Facility Name	VALLEY OF THE SUN HOSPICE DBA SUMMIT HOSPICE
Street	7310 N 16TH ST STE 100
City	PHOENIX
State	AZ
ZIP	85020
Phone	602 535-8255
CertificateType	4
CertificateEffectiveDate	11/16/2022
CertificateExpirationDate	11/15/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024