03D2192246 CLIA NUMBER - SAINT JOSEPH HOSPICE, LLC DBA PASSION HOSPICE

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Laboratory Demographics

CLIA Number: 03D2192246

Facility Name: SAINT JOSEPH HOSPICE, LLC DBA PASSION HOSPICE

Facility Address:
2550 W UNION HILLS DR SUITE 350
PHOENIX, AZ
ZIP 85027
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Facility Phone Number: 480 296-5429

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1144850900

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2192246
LAB Type	Hospice
Facility Name	SAINT JOSEPH HOSPICE, LLC DBA PASSION HOSPICE
Street	2550 W UNION HILLS DR SUITE 350
City	PHOENIX
State	AZ
ZIP	85027
Phone	480 296-5429
CertificateType	4
CertificateEffectiveDate	9/8/2022
CertificateExpirationDate	9/7/2024
FacilityType	Waiver

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