03D2106531 CLIA NUMBER - AQUARIUS HOME HEALTH & AQUARIUS HOSPICE

Laboratory Demographics

CLIA Number: 03D2106531

Facility Name: AQUARIUS HOME HEALTH & AQUARIUS HOSPICE

Facility Address:
10000 N 31TH AVENUE, SUITE C100-123
PHOENIX, AZ
ZIP 85051
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Facility Phone Number: (602) 466-3686

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1649648270

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	03D2106531
LAB Type	HOSPICE
Facility Name	AQUARIUS HOME HEALTH & AQUARIUS HOSPICE
Street	10000 N 31TH AVENUE, SUITE C100-123
City	PHOENIX
State	AZ
ZIP	85051
Phone	(602) 466-3686

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