03D2038146 CLIA NUMBER - AEGIS HOMECARE, INC

Laboratory Demographics

  • CLIA Code: 03D2038146
  • Facility Name: AEGIS HOMECARE, INC
  • Facility Address: 7227 E BASELINE RD #127
    MESA, AZ
    ZIP 85209
  • Facility Phone: 480 219-4790
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BENJAMIN LARSEN
  • NPI Number: 1902179302
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2038146
LAB Type Home Health Agency
Facility Name AEGIS HOMECARE, INC
Street 7227 E BASELINE RD #127
City MESA
State AZ
ZIP 85209
Phone 480 219-4790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2024
Certificate Expiration Date 3/12/2026
Facility Type Home Health Agency
Lab Director BENJAMIN LARSEN

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