03D2160741 CLIA NUMBER - WHITE ROSE GROUP, LLC, THE DBA WHITE ROSE HOSPICE

Laboratory Demographics

  • CLIA Code: 03D2160741
  • Facility Name: WHITE ROSE GROUP, LLC, THE DBA WHITE ROSE HOSPICE
  • Facility Address: 4131 N 24TH STREET SUITE C208
    PHOENIX, AZ
    ZIP 85016
  • Facility Phone: 602 354-7887
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CYNTHIA D. BROOKS
  • NPI Number: 1245707595
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2160741
LAB Type Hospice
Facility Name WHITE ROSE GROUP, LLC, THE DBA WHITE ROSE HOSPICE
Street 4131 N 24TH STREET SUITE C208
City PHOENIX
State AZ
ZIP 85016
Phone 602 354-7887
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Hospice
Lab Director CYNTHIA D. BROOKS

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