03D2157691 CLIA NUMBER - MOUNTAIN VIEW HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 03D2157691
  • Facility Name: MOUNTAIN VIEW HOSPICE LLC
  • Facility Address: 8263 W THUNDERBIRD RD, STE 120
    PEORIA, AZ
    ZIP 85381
  • Facility Phone: 623 230-3698
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JAIME WASDEN-RYUM
  • NPI Number: 1346725181
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2157691
LAB Type Hospice
Facility Name MOUNTAIN VIEW HOSPICE LLC
Street 8263 W THUNDERBIRD RD, STE 120
City PEORIA
State AZ
ZIP 85381
Phone 623 230-3698
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Hospice
Lab Director JAIME WASDEN-RYUM

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