03D2121100 CLIA NUMBER - American Premier Hospice, Llc

Laboratory Demographics

CLIA Number: 03D2121100

Facility Name: American Premier Hospice, Llc

Facility Address:
4745 N 7th St Ste 255,
Phoenix, AZ
ZIP 85014
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Facility Phone Number: (602) 795-9480

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1356842181
3336L0003X - Pharmacy
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

CLIA Record

Field Name	Field Value
CLIA Number	03D2121100
LAB Type	HOSPICE
Facility Name	American Premier Hospice, Llc
Street	4745 N 7th St Ste 255,
City	Phoenix
State	AZ
ZIP	85014
Phone	6027959480

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