03D2103200 CLIA NUMBER - SHANTI HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 03D2103200
  • Facility Name: SHANTI HOSPICE LLC
  • Facility Address: 3180 N ALMA SCHOOL RD STE 2
    CHANDLER, AZ
    ZIP 85224
  • Facility Phone: 480 788-7284
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MONICA BANERJEE
  • NPI Number: 1952793150
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2103200
LAB Type Hospice
Facility Name SHANTI HOSPICE LLC
Street 3180 N ALMA SCHOOL RD STE 2
City CHANDLER
State AZ
ZIP 85224
Phone 480 788-7284
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Hospice
Lab Director MONICA BANERJEE

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This page was last updated on: 9/29/2025