03D2169202 CLIA NUMBER - GOLDEN CARE HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 03D2169202
  • Facility Name: GOLDEN CARE HOSPICE, LLC
  • Facility Address: 2320 W PEORIA AVE STE C122C
    PHOENIX, AZ
    ZIP 85029
  • Facility Phone: 602 491-0411
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ROWELIZA MARTIN
  • NPI Number: 1811549488
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2169202
LAB Type Hospice
Facility Name GOLDEN CARE HOSPICE, LLC
Street 2320 W PEORIA AVE STE C122C
City PHOENIX
State AZ
ZIP 85029
Phone 602 491-0411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Hospice
Lab Director ROWELIZA MARTIN

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