03D2068900 CLIA NUMBER - EH HEALTH HOSPICE OF THE SOUTHWEST LLC DBA ENHABIT HOSPICE

Laboratory Demographics

  • CLIA Code: 03D2068900
  • Facility Name: EH HEALTH HOSPICE OF THE SOUTHWEST LLC DBA ENHABIT HOSPICE
  • Facility Address: 1635 N GREENFIELD RD STE 126
    MESA, AZ
    ZIP 85205
  • Facility Phone: 480 407-4597
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KELLEY BARRERA
  • NPI Number: 1477896496
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2068900
LAB Type Hospice
Facility Name EH HEALTH HOSPICE OF THE SOUTHWEST LLC DBA ENHABIT HOSPICE
Street 1635 N GREENFIELD RD STE 126
City MESA
State AZ
ZIP 85205
Phone 480 407-4597
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Hospice
Lab Director KELLEY BARRERA

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