03D2110968 CLIA NUMBER - ADVISACARE HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 03D2110968
  • Facility Name: ADVISACARE HOSPICE, LLC
  • Facility Address: 1757 E BASELINE RD, STE 106
    GILBERT, AZ
    ZIP 85233
  • Facility Phone: 480 284-4600
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: IRENE FISCHER
  • NPI Number: 1801245048
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2110968
LAB Type Hospice
Facility Name ADVISACARE HOSPICE, LLC
Street 1757 E BASELINE RD, STE 106
City GILBERT
State AZ
ZIP 85233
Phone 480 284-4600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Hospice
Lab Director IRENE FISCHER

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This page was last updated on: 3/20/2025