03D2158599 CLIA NUMBER - DEVOTED GUARDIANS HOME HEALTH

Laboratory Demographics

  • CLIA Code: 03D2158599
  • Facility Name: DEVOTED GUARDIANS HOME HEALTH
  • Facility Address: 1705 W RUBY DR #107
    TEMPE, AZ
    ZIP 85284
  • Facility Phone: 480 999-3012
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JUSTIN TYLER
  • NPI Number: 1285971887
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 03D2158599
LAB Type Hospice
Facility Name DEVOTED GUARDIANS HOME HEALTH
Street 1705 W RUBY DR #107
City TEMPE
State AZ
ZIP 85284
Phone 480 999-3012
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Hospice
Lab Director JUSTIN TYLER

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