03D2203714 CLIA NUMBER - AVRA HOSPICE CARE INC DBA ARIZONA LIFE HOSPICE - YAVAPAI

Laboratory Demographics

  • CLIA Code: 03D2203714
  • Facility Name: AVRA HOSPICE CARE INC DBA ARIZONA LIFE HOSPICE - YAVAPAI
  • Facility Address: 3177 CLEARWATER DR, STE B
    PRESCOTT, AZ
    ZIP 86305
  • Facility Phone: 928 379-3391
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MICHAEL ARANDA
  • NPI Number: 1659970648
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2203714
LAB Type Hospice
Facility Name AVRA HOSPICE CARE INC DBA ARIZONA LIFE HOSPICE - YAVAPAI
Street 3177 CLEARWATER DR, STE B
City PRESCOTT
State AZ
ZIP 86305
Phone 928 379-3391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2024
Certificate Expiration Date 12/3/2026
Facility Type Hospice
Lab Director MICHAEL ARANDA

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