03D2136002 CLIA NUMBER - AGAPE HOSPICE PINAL COUNTY

Laboratory Demographics

CLIA Number: 03D2136002

Facility Name: AGAPE HOSPICE PINAL COUNTY

Facility Address:
520 N CAMINO MERCADO STE 11
CASA GRANDE, AZ
ZIP 85122
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Facility Phone Number: (480) 750-1440

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1730785924

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2136002
LAB Type	HOSPICE
Facility Name	AGAPE HOSPICE PINAL COUNTY
Street	520 N CAMINO MERCADO STE 11
City	CASA GRANDE
State	AZ
ZIP	85122
Phone	(480) 750-1440

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