03D2113425 CLIA NUMBER - Surprise Memory Care

Laboratory Demographics

CLIA Number: 03D2113425

Facility Name: Surprise Memory Care

Facility Address:
16465 N Parkview Place
Surprise, AZ
ZIP 85374
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Facility Phone Number: (623) 266-4999

Facility Type: ASSISTED LIVING FACILITY

Certificate Type: Waiver

NPI Number: 1023512753

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name Field Value
CLIA Number 03D2113425
LAB Type ASSISTED LIVING FACILITY
Facility Name Surprise Memory Care
Street 16465 N Parkview Place
City Surprise
State AZ
ZIP 85374
Phone (623) 266-4999

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