03D2135068 CLIA NUMBER - FAMILY CARE HOME HEALTH & HOSPICE

Laboratory Demographics

  • CLIA Code: 03D2135068
  • Facility Name: FAMILY CARE HOME HEALTH & HOSPICE
  • Facility Address: 2440 ADOBE RD STE 106/107
    BULLHEAD CITY, AZ
    ZIP 86442
  • Facility Phone: 928 299-5100
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ALIE JREISAT
  • NPI Number: 1124664305
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2135068
LAB Type Home Health Agency
Facility Name FAMILY CARE HOME HEALTH & HOSPICE
Street 2440 ADOBE RD STE 106/107
City BULLHEAD CITY
State AZ
ZIP 86442
Phone 928 299-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2023
Certificate Expiration Date 8/14/2025
Facility Type Home Health Agency
Lab Director ALIE JREISAT

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