03D2120599 CLIA NUMBER - SELECT HOSPICE CARE LLC DBA ZEPHYR HOSPICE

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Laboratory Demographics

CLIA Number: 03D2120599

Facility Name: SELECT HOSPICE CARE LLC DBA ZEPHYR HOSPICE

Facility Address:
14040 N CAVE CREEK RD STE 308
PHOENIX, AZ
ZIP 85022
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Facility Phone Number: 480 584-4373

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1770961864

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2120599
LAB Type	Hospice
Facility Name	SELECT HOSPICE CARE LLC DBA ZEPHYR HOSPICE
Street	14040 N CAVE CREEK RD STE 308
City	PHOENIX
State	AZ
ZIP	85022
Phone	480 584-4373
CertificateType	4
CertificateEffectiveDate	10/19/2022
CertificateExpirationDate	10/18/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024