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: 5/11/2023