03D2189690 CLIA NUMBER - STONERIDGE HOSPICE

Laboratory Demographics

  • CLIA Code: 03D2189690
  • Facility Name: STONERIDGE HOSPICE
  • Facility Address: 20860 N TATUM BLVD STE 145
    PHOENIX, AZ
    ZIP 85050
  • Facility Phone: 480 306-8655
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: PATRICIA M. BRAZEL
  • NPI Number: 1447885843
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2189690
LAB Type Hospice
Facility Name STONERIDGE HOSPICE
Street 20860 N TATUM BLVD STE 145
City PHOENIX
State AZ
ZIP 85050
Phone 480 306-8655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Hospice
Lab Director PATRICIA M. BRAZEL

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