03D2099690 CLIA NUMBER - Divine Hospice And Palliative Care LLC

Home > CLIA Lookup > 03D2099690

Laboratory Demographics

CLIA Number: 03D2099690

Facility Name: Divine Hospice And Palliative Care LLC

Facility Address:
16165 N 83rd Ave Ste 200
Peoria, AZ
ZIP 85382
Get Directions

Facility Phone Number: (623) 888-3016

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1104223106

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2099690
LAB Type	HOSPICE
Facility Name	Divine Hospice And Palliative Care LLC
Street	16165 N 83rd Ave Ste 200
City	Peoria
State	AZ
ZIP	85382
Phone	(623) 888-3016

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/7/2021