03D2125769 CLIA NUMBER - American Premier Palliative, LLC

Laboratory Demographics

CLIA Number: 03D2125769

Facility Name: American Premier Palliative, LLC

Facility Address:
11070 N 24th Ave, Ste 250
Phoenix, AZ
ZIP 85029
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Facility Phone Number: (602) 795-8795

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1356842181

Taxonomy: 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 03D2125769
LAB Type OTHER
Facility Name American Premier Palliative, LLC
Street 11070 N 24th Ave, Ste 250
City Phoenix
State AZ
ZIP 85029
Phone (602) 795-8795

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This page was last updated on: 4/7/2021