03D2174524 CLIA NUMBER - PRISM HOSPICE

Laboratory Demographics

  • CLIA Code: 03D2174524
  • Facility Name: PRISM HOSPICE
  • Facility Address: 401 N ALMA SCHOOL RD STE 3
    CHANDLER, AZ
    ZIP 85224
  • Facility Phone: 480 687-9439
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: NATHAN DUFFIN
  • NPI Number: 1023662665
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2174524
LAB Type Hospice
Facility Name PRISM HOSPICE
Street 401 N ALMA SCHOOL RD STE 3
City CHANDLER
State AZ
ZIP 85224
Phone 480 687-9439
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Hospice
Lab Director NATHAN DUFFIN

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