03D2080018 CLIA NUMBER - WINGS OF HOPE HOSPICE AND PALLIATIVE CARE INC

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Laboratory Demographics

CLIA Number: 03D2080018

Facility Name: WINGS OF HOPE HOSPICE AND PALLIATIVE CARE INC

Facility Address:
11022 N 28TH DR, STE 205
PHOENIX, AZ
ZIP 85029
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Facility Phone Number: 602 971-0304

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1710312897

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2080018
LAB Type	Hospice
Facility Name	WINGS OF HOPE HOSPICE AND PALLIATIVE CARE INC
Street	11022 N 28TH DR, STE 205
City	PHOENIX
State	AZ
ZIP	85029
Phone	602 971-0304
CertificateType	4
CertificateEffectiveDate	6/27/2022
CertificateExpirationDate	6/26/2024
FacilityType	Waiver

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