03D2121100 CLIA NUMBER - AMERICAN PREMIER HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 03D2121100
  • Facility Name: AMERICAN PREMIER HOSPICE, LLC
  • Facility Address: 11070 N 24TH AVE STE 200
    PHOENIX, AZ
    ZIP 85029
  • Facility Phone: 602 795-9480
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: VARUZHAN MOVSESYAN
  • NPI Number: 1316498231
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2121100
LAB Type Hospice
Facility Name AMERICAN PREMIER HOSPICE, LLC
Street 11070 N 24TH AVE STE 200
City PHOENIX
State AZ
ZIP 85029
Phone 602 795-9480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Hospice
Lab Director VARUZHAN MOVSESYAN

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