03D2029408 CLIA NUMBER - A SERVANT'S HEART HOSPICE LLC DBA SAGE HOSPICE

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Laboratory Demographics

CLIA Number: 03D2029408

Facility Name: A SERVANT'S HEART HOSPICE LLC DBA SAGE HOSPICE

Facility Address:
5111 N SCOTTSDALE RD, STE 204
SCOTTSDALE, AZ
ZIP 85250
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Facility Phone Number: 480 777-5117

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1881993970

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2029408
LAB Type	Hospice
Facility Name	A SERVANT'S HEART HOSPICE LLC DBA SAGE HOSPICE
Street	5111 N SCOTTSDALE RD, STE 204
City	SCOTTSDALE
State	AZ
ZIP	85250
Phone	480 777-5117
CertificateType	4
CertificateEffectiveDate	9/7/2023
CertificateExpirationDate	9/6/2025
FacilityType	Waiver

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