03D2189370 CLIA NUMBER - VICTORY HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 03D2189370
  • Facility Name: VICTORY HOSPICE, LLC
  • Facility Address: 10210 N 32ND ST STE C202-C
    PHOENIX, AZ
    ZIP 85028
  • Facility Phone: 480 525-0314
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ROWELIZA C. HOY
  • NPI Number: 1427666999
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2189370
LAB Type Hospice
Facility Name VICTORY HOSPICE, LLC
Street 10210 N 32ND ST STE C202-C
City PHOENIX
State AZ
ZIP 85028
Phone 480 525-0314
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/30/2024
Certificate Expiration Date 7/29/2026
Facility Type Hospice
Lab Director ROWELIZA C. HOY

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