03D2036344 CLIA NUMBER - AGAPE SOUTH

Laboratory Demographics

  • CLIA Code: 03D2036344
  • Facility Name: AGAPE SOUTH
  • Facility Address: 210 W CONTINENTAL RD STE 220A
    GREEN VALLEY, AZ
    ZIP 85622
  • Facility Phone: 520 399-0200
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CHRISTINA ENLOW
  • NPI Number: 1578569430
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2036344
LAB Type Hospice
Facility Name AGAPE SOUTH
Street 210 W CONTINENTAL RD STE 220A
City GREEN VALLEY
State AZ
ZIP 85622
Phone 520 399-0200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Hospice
Lab Director CHRISTINA ENLOW

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