03D2068745 CLIA NUMBER - MAGGIE'S HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 03D2068745
  • Facility Name: MAGGIE'S HOSPICE, LLC
  • Facility Address: 801 MILLER VALLEY RD
    PRESCOTT, AZ
    ZIP 86301
  • Facility Phone: 928 775-2290
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MICHAEL BERLOWE
  • NPI Number: 1073854428
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2068745
LAB Type Hospice
Facility Name MAGGIE'S HOSPICE, LLC
Street 801 MILLER VALLEY RD
City PRESCOTT
State AZ
ZIP 86301
Phone 928 775-2290
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Hospice
Lab Director MICHAEL BERLOWE

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