03D2127699 CLIA NUMBER - HOSPICE OF AMERICA LLC

Laboratory Demographics

  • CLIA Code: 03D2127699
  • Facility Name: HOSPICE OF AMERICA LLC
  • Facility Address: 1837 S MESA DR STE C200
    MESA, AZ
    ZIP 85210
  • Facility Phone: 480 219-8259
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LISA SHAFFER
  • NPI Number: 1952853632
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2127699
LAB Type Hospice
Facility Name HOSPICE OF AMERICA LLC
Street 1837 S MESA DR STE C200
City MESA
State AZ
ZIP 85210
Phone 480 219-8259
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Hospice
Lab Director LISA SHAFFER

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This page was last updated on: 6/4/2025