03D2172477 CLIA NUMBER - ASSISTEO PALLIATIVE CARE, LLC

Laboratory Demographics

CLIA Number: 03D2172477

Facility Name: ASSISTEO PALLIATIVE CARE, LLC

Facility Address:
2929 N 44TH ST STE 110B
PHOENIX, AZ
ZIP 85018
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Facility Phone Number: 602 820-8094

Facility Type: Other - PALLIATIVE CARE AGENCY

Certificate Type: Waiver

NPI Number: 1568639557

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	03D2172477
LAB Type	Other - PALLIATIVE CARE AGENCY
Facility Name	ASSISTEO PALLIATIVE CARE, LLC
Street	2929 N 44TH ST STE 110B
City	PHOENIX
State	AZ
ZIP	85018
Phone	602 820-8094
CertificateType	4
CertificateEffectiveDate	9/24/2023
CertificateExpirationDate	9/23/2025
FacilityType	Waiver

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