03D2121395 CLIA NUMBER - Eternity Hospice & Palliative Care

Laboratory Demographics

CLIA Number: 03D2121395

Facility Name: Eternity Hospice & Palliative Care

Facility Address:
14122 W Mcdowell Rd, Ste 204,
Goodyear, AZ
ZIP 85395
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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
Street	14122 W Mcdowell Rd, Ste 204,
City	Goodyear
State	AZ
ZIP	85395
Phone	6023746878

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