03D2128752 CLIA NUMBER - OMEGALIFE HOSPICE OF ARIZONA, INC

Laboratory Demographics

CLIA Number: 03D2128752

Facility Name: OMEGALIFE HOSPICE OF ARIZONA, INC

Facility Address:
10000 N 31ST AVE, STE D 401-B
PHOENIX, AZ
ZIP 85051
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Facility Phone Number: (602) 606-8898

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1710418652

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2128752
LAB Type	HOSPICE
Facility Name	OMEGALIFE HOSPICE OF ARIZONA, INC
Street	10000 N 31ST AVE, STE D 401-B
City	PHOENIX
State	AZ
ZIP	85051
Phone	(602) 606-8898

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