03D2121395 CLIA NUMBER - ETERNITY HOSPICE & PALLIATIVE CARE, PLLC

Laboratory Demographics

CLIA Number: 03D2121395

Facility Name: ETERNITY HOSPICE & PALLIATIVE CARE, PLLC

Facility Address:
4140 N 108TH AVE, SUITE 101A
PHOENIX, AZ
ZIP 85037
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Facility Phone Number: (602) 374-6878

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1396140778

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 03D2121395
LAB Type HOSPICE
Facility Name ETERNITY HOSPICE & PALLIATIVE CARE, PLLC
Street 4140 N 108TH AVE, SUITE 101A
City PHOENIX
State AZ
ZIP 85037
Phone (602) 374-6878

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This page was last updated on: 5/11/2023