03D2068584 CLIA NUMBER - WEST VALLEY CARE HOME II

Laboratory Demographics

  • CLIA Code: 03D2068584
  • Facility Name: WEST VALLEY CARE HOME II
  • Facility Address: 20817 N 101 LN
    PEORIA, AZ
    ZIP 85382
  • Facility Phone: 623 792-8424
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ELENA ROMANIVC
  • NPI Number: 1356580682
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 03D2068584
LAB Type Assisted Living Facility
Facility Name WEST VALLEY CARE HOME II
Street 20817 N 101 LN
City PEORIA
State AZ
ZIP 85382
Phone 623 792-8424
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Assisted Living Facility
Lab Director ELENA ROMANIVC

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