03D2127699 CLIA NUMBER - Hospice Of America LLC

Laboratory Demographics

CLIA Number: 03D2127699

Facility Name: Hospice Of America LLC

Facility Address:
1837 S Mesa Dr Ste C200
Mesa, AZ
ZIP 85210
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Facility Phone Number: (480) 219-8259

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1952853632

Taxonomy: 251G00000X - Hospice Care, Community Based

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

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