03D2168452 CLIA NUMBER - BLUE SKY HOSPICE INC

Laboratory Demographics

  • CLIA Code: 03D2168452
  • Facility Name: BLUE SKY HOSPICE INC
  • Facility Address: 33 N PARSELL
    MESA, AZ
    ZIP 85203
  • Facility Phone: 480 686-8540
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JENNIFER JONES
  • NPI Number: 1811555683
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2168452
LAB Type Hospice
Facility Name BLUE SKY HOSPICE INC
Street 33 N PARSELL
City MESA
State AZ
ZIP 85203
Phone 480 686-8540
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2025
Certificate Expiration Date 6/27/2027
Facility Type Hospice
Lab Director JENNIFER JONES

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