03D2124786 CLIA NUMBER - Madrona Hospice Az Llc

Laboratory Demographics

CLIA Number: 03D2124786

Facility Name: Madrona Hospice Az Llc

Facility Address:
10752 N 89th Place, Suite 104a,
Scottsdale, AZ
ZIP 85260
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Facility Phone Number: (480) 566-5997

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1346738879
251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 03D2124786
LAB Type HOSPICE
Facility Name Madrona Hospice Az Llc
Street 10752 N 89th Place, Suite 104a,
City Scottsdale
State AZ
ZIP 85260
Phone 4805665997

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