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03D2020404 CLIA NUMBER - ADVISACARE SOLUTIONS OF ARIZONA, LLC

Laboratory Demographics

CLIA Number: 03D2020404

Facility Name: ADVISACARE SOLUTIONS OF ARIZONA, LLC

Facility Address:
3602 E GREENWAY RD STE 104
PHOENIX, AZ
ZIP 85032
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Facility Phone Number: 623 271-9755

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1619427283

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 03D2020404
LAB Type Home Health Agency
Facility Name ADVISACARE SOLUTIONS OF ARIZONA, LLC
Street 3602 E GREENWAY RD STE 104
City PHOENIX
State AZ
ZIP 85032
Phone 623 271-9755
CertificateType 4
CertificateEffectiveDate 9/24/2023
CertificateExpirationDate 9/23/2025
FacilityType Waiver

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