03D2100680 CLIA NUMBER - WINGS OF HOPE MEDICAL SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 03D2100680
  • Facility Name: WINGS OF HOPE MEDICAL SERVICES, LLC
  • Facility Address: 11022 N 28TH DR, STE 205
    PHOENIX, AZ
    ZIP 85029
  • Facility Phone: 602 953-6695
  • Facility Type: Other - VISITING PHYSICIAN GROUP
  • Facility Type: Waiver
  • Lab Director: ANGELA KATZ
  • NPI Number: 1710312897
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2100680
LAB Type Other - VISITING PHYSICIAN GROUP
Facility Name WINGS OF HOPE MEDICAL SERVICES, LLC
Street 11022 N 28TH DR, STE 205
City PHOENIX
State AZ
ZIP 85029
Phone 602 953-6695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2023
Certificate Expiration Date 8/18/2025
Facility Type Other - VISITING PHYSICIAN GROUP
Lab Director ANGELA KATZ

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This page was last updated on: 3/20/2025