03D2189373 CLIA NUMBER - ARCH HOSPICE, LLC

Laboratory Demographics

CLIA Number: 03D2189373

Facility Name: ARCH HOSPICE, LLC

Facility Address:
10210 N 32ND ST STE C202
PHOENIX, AZ
ZIP 85028
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Facility Phone Number: 602 922-2345

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1174141980

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2189373
LAB Type	Hospice
Facility Name	ARCH HOSPICE, LLC
Street	10210 N 32ND ST STE C202
City	PHOENIX
State	AZ
ZIP	85028
Phone	602 922-2345
CertificateType	4
CertificateEffectiveDate	7/30/2022
CertificateExpirationDate	7/29/2024
FacilityType	Waiver

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