03D2159143 CLIA NUMBER - SUNRISE HOSPICE INC

Laboratory Demographics

CLIA Number: 03D2159143

Facility Name: SUNRISE HOSPICE INC

Facility Address:
4045 E UNION HILLS DR STE 104
PHOENIX, AZ
ZIP 85050
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Facility Phone Number: 602 218-6861

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1508351420

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2159143
LAB Type	Hospice
Facility Name	SUNRISE HOSPICE INC
Street	4045 E UNION HILLS DR STE 104
City	PHOENIX
State	AZ
ZIP	85050
Phone	602 218-6861
CertificateType	4
CertificateEffectiveDate	12/12/2022
CertificateExpirationDate	12/11/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024