03D2136002 CLIA NUMBER - AGAPE HOSPICE PINAL COUNTY

Laboratory Demographics

  • CLIA Code: 03D2136002
  • Facility Name: AGAPE HOSPICE PINAL COUNTY
  • Facility Address: 580 N CAMINO MERCADO STES 3 &4
    CASA GRANDE, AZ
    ZIP 85122
  • Facility Phone: 480 750-1440
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RENEE BOLGER
  • NPI Number: 1730785924
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2136002
LAB Type Hospice
Facility Name AGAPE HOSPICE PINAL COUNTY
Street 580 N CAMINO MERCADO STES 3 &4
City CASA GRANDE
State AZ
ZIP 85122
Phone 480 750-1440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type Hospice
Lab Director RENEE BOLGER

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This page was last updated on: 9/29/2025