03D2132082 CLIA NUMBER - ARIZONA HOSPICE SAFFORD, LLC

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Laboratory Demographics

CLIA Number: 03D2132082

Facility Name: ARIZONA HOSPICE SAFFORD, LLC

Facility Address:
1280 S 20TH AVE SUITE B
SAFFORD, AZ
ZIP 85546
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Facility Phone Number: 888 891-0786

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1184191561

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2132082
LAB Type	Hospice
Facility Name	ARIZONA HOSPICE SAFFORD, LLC
Street	1280 S 20TH AVE SUITE B
City	SAFFORD
State	AZ
ZIP	85546
Phone	888 891-0786
CertificateType	4
CertificateEffectiveDate	6/12/2023
CertificateExpirationDate	6/11/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024