03D2103200 CLIA NUMBER - SHANTI HOSPICE LLC

Laboratory Demographics

CLIA Number: 03D2103200

Facility Name: SHANTI HOSPICE LLC

Facility Address:
501 W RAY RD STE 6
CHANDLER, AZ
ZIP 85225
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Facility Phone Number: (480) 788-7284

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1952793150

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2103200
LAB Type	HOSPICE
Facility Name	SHANTI HOSPICE LLC
Street	501 W RAY RD STE 6
City	CHANDLER
State	AZ
ZIP	85225
Phone	(480) 788-7284

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