03D2176009 CLIA NUMBER - NEW LIFE HOSPICE, LLC

Laboratory Demographics

CLIA Number: 03D2176009

Facility Name: NEW LIFE HOSPICE, LLC

Facility Address:
8777 E VIA DE VENTURA, STE 280
SCOTTSDALE, AZ
ZIP 85258
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Facility Phone Number: 480 350-7554

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1801384672

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2176009
LAB Type	Hospice
Facility Name	NEW LIFE HOSPICE, LLC
Street	8777 E VIA DE VENTURA, STE 280
City	SCOTTSDALE
State	AZ
ZIP	85258
Phone	480 350-7554
CertificateType	4
CertificateEffectiveDate	12/6/2023
CertificateExpirationDate	12/5/2025
FacilityType	Waiver

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