03D2045756 CLIA NUMBER - ENCANTO PALMS ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 03D2045756
  • Facility Name: ENCANTO PALMS ASSISTED LIVING
  • Facility Address: 3901 W ENCANTO BLVD
    PHOENIX, AZ
    ZIP 85009
  • Facility Phone: 602 352-0000
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ALLSHEA E. CHEVES
  • NPI Number: 1962749770
  • Taxonomy: 311500000X - Alzheimer Center (Dementia Center)

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CLIA Record

Field Name Field Value
CLIA Number 03D2045756
LAB Type Assisted Living Facility
Facility Name ENCANTO PALMS ASSISTED LIVING
Street 3901 W ENCANTO BLVD
City PHOENIX
State AZ
ZIP 85009
Phone 602 352-0000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Assisted Living Facility
Lab Director ALLSHEA E. CHEVES

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