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: 4/7/2021