03D2110968 CLIA NUMBER - Advisacare Hospice, LLC

Laboratory Demographics

CLIA Number: 03D2110968

Facility Name: Advisacare Hospice, LLC

Facility Address:
1757 E Baseline Rd, Ste 106
Gilbert, AZ
ZIP 85233
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Facility Phone Number: (480) 284-4600

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1801245048

Taxonomy: 251G00000X - Hospice Care, Community Based

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

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