03D2100357 CLIA NUMBER - SOLACE HOSPICE, LLC

Laboratory Demographics

  • Code: 03D2100357
  • Facility Name: SOLACE HOSPICE, LLC
  • Facility Address: 16841 N 31ST AVE, STE 161
    PHOENIX, AZ
    ZIP 85053
  • Facility Phone: 602 888-7037
  • Facility Type: Hospice
  • Facility Type: Waiver
  • NPI Number: 1588043533
  • Taxonomy: 251G00000X - Hospice Care, Community Based
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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
Certificate Type 4
Certificate Effective Date 8/12/2023
Certificate Expiration Date 8/11/2025
Facility Type Waiver

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