03D2100357 CLIA NUMBER - SOLACE HOSPICE, LLC

Laboratory Demographics

CLIA Number: 03D2100357

Facility Name: SOLACE HOSPICE, LLC

Facility Address:
16841 N 31ST AVE, STE 161
PHOENIX, AZ
ZIP 85053
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Facility Phone Number: (602) 888-7037

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1588043533

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2100357
LAB Type	HOSPICE
Facility Name	SOLACE HOSPICE, LLC
Street	16841 N 31ST AVE, STE 161
City	PHOENIX
State	AZ
ZIP	85053
Phone	(602) 888-7037

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This page was last updated on: 5/11/2023