03D2193820 CLIA NUMBER - ROSE COURT SENIOR LIVING

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Laboratory Demographics

CLIA Number: 03D2193820

Facility Name: ROSE COURT SENIOR LIVING

Facility Address:
2935 N 18TH PL
PHOENIX, AZ
ZIP 85016
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Facility Phone Number: 602 265-9813

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1003185513

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	03D2193820
LAB Type	Assisted Living Facility
Facility Name	ROSE COURT SENIOR LIVING
Street	2935 N 18TH PL
City	PHOENIX
State	AZ
ZIP	85016
Phone	602 265-9813
CertificateType	4
CertificateEffectiveDate	9/24/2022
CertificateExpirationDate	9/23/2024
FacilityType	Waiver

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