03D2197463 CLIA NUMBER - AMARSI ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 03D2197463
  • Facility Name: AMARSI ASSISTED LIVING
  • Facility Address: 5125 N 58TH AVE
    GLENDALE, AZ
    ZIP 85301
  • Facility Phone: 623 748-1330
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: PHENICIA THOMAS
  • NPI Number: 1659936433
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 03D2197463
LAB Type Assisted Living Facility
Facility Name AMARSI ASSISTED LIVING
Street 5125 N 58TH AVE
City GLENDALE
State AZ
ZIP 85301
Phone 623 748-1330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Assisted Living Facility
Lab Director PHENICIA THOMAS

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