03D2127646 CLIA NUMBER - CHARTER HEALTHCARE OF PHOENIX, LLC

Laboratory Demographics

CLIA Number: 03D2127646

Facility Name: CHARTER HEALTHCARE OF PHOENIX, LLC

Facility Address:
1232 E BROADWAY RD STE 210
TEMPE, AZ
ZIP 85282
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Facility Phone Number: (480) 750-4008

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1699176222

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2127646
LAB Type	HOSPICE
Facility Name	CHARTER HEALTHCARE OF PHOENIX, LLC
Street	1232 E BROADWAY RD STE 210
City	TEMPE
State	AZ
ZIP	85282
Phone	(480) 750-4008

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