03D2137577 CLIA NUMBER - PHOENICIAN HOSPICE, PLLC

Laboratory Demographics

CLIA Number: 03D2137577

Facility Name: PHOENICIAN HOSPICE, PLLC

Facility Address:
11000 N SCOTTSDALE ROAD, STE 145
SCOTTSDALE, AZ
ZIP 85254
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Facility Phone Number: (480) 887-8993

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1730624461

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2137577
LAB Type	HOSPICE
Facility Name	PHOENICIAN HOSPICE, PLLC
Street	11000 N SCOTTSDALE ROAD, STE 145
City	SCOTTSDALE
State	AZ
ZIP	85254
Phone	(480) 887-8993

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