03D2104859 CLIA NUMBER - Hospice At Home Of Arizona, LLC

Laboratory Demographics

CLIA Number: 03D2104859

Facility Name: Hospice At Home Of Arizona, LLC

Facility Address:
1423 S Higley Rd Suite 121
Mesa, AZ
ZIP 85206
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Facility Phone Number: (480) 478-0643

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1376986463

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 03D2104859
LAB Type HOSPICE
Facility Name Hospice At Home Of Arizona, LLC
Street 1423 S Higley Rd Suite 121
City Mesa
State AZ
ZIP 85206
Phone (480) 478-0643

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This page was last updated on: 4/7/2021