03D2107270 CLIA NUMBER - Hospice Of Hope LLC

Laboratory Demographics

CLIA Number: 03D2107270

Facility Name: Hospice Of Hope LLC

Facility Address:
17505 N 79th Ave Ste 314
Glendale, AZ
ZIP 85308
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Facility Phone Number: (623) 399-6910

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1497263891

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 03D2107270
LAB Type HOSPICE
Facility Name Hospice Of Hope LLC
Street 17505 N 79th Ave Ste 314
City Glendale
State AZ
ZIP 85308
Phone (623) 399-6910

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