03D2055894 CLIA NUMBER - PILLARS HOSPICE CARE

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Laboratory Demographics

CLIA Number: 03D2055894

Facility Name: PILLARS HOSPICE CARE

Facility Address:
10221 N 32ND STREET SUITE H
PHOENIX, AZ
ZIP 85028
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Facility Phone Number: 602 788-1138

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1588917264

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2055894
LAB Type	Hospice
Facility Name	PILLARS HOSPICE CARE
Street	10221 N 32ND STREET SUITE H
City	PHOENIX
State	AZ
ZIP	85028
Phone	602 788-1138
CertificateType	4
CertificateEffectiveDate	3/19/2023
CertificateExpirationDate	3/18/2025
FacilityType	Waiver

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