03D2116838 CLIA NUMBER - Trinity Visiting Nurse And Home Care Llc

Laboratory Demographics

CLIA Number: 03D2116838

Facility Name: Trinity Visiting Nurse And Home Care Llc

Facility Address:
4226 Avenida Cochise, Ste 5,
Sierra Vista, AZ
ZIP 85635
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Facility Phone Number: (520) 458-1536

Facility Type: HOME HEALTH AGENCY

Certificate Type: Waiver

NPI Number: 1649695818
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 03D2116838
LAB Type HOME HEALTH AGENCY
Facility Name Trinity Visiting Nurse And Home Care Llc
Street 4226 Avenida Cochise, Ste 5,
City Sierra Vista
State AZ
ZIP 85635
Phone 5204581536

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This page was last updated on: 5/19/2019