03D2205331 CLIA NUMBER - CENTRA MANAGEMENT SERVICES LLC

Laboratory Demographics

  • CLIA Code: 03D2205331
  • Facility Name: CENTRA MANAGEMENT SERVICES LLC
  • Facility Address: 4530 E SHEA BLVD STE 142
    PHOENIX, AZ
    ZIP 85028
  • Facility Phone: 480 433-7878
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CYNTHIA L. RICHARDSON
  • NPI Number: 1588279673
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2205331
LAB Type Hospice
Facility Name CENTRA MANAGEMENT SERVICES LLC
Street 4530 E SHEA BLVD STE 142
City PHOENIX
State AZ
ZIP 85028
Phone 480 433-7878
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/14/2024
Certificate Expiration Date 12/13/2026
Facility Type Hospice
Lab Director CYNTHIA L. RICHARDSON

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This page was last updated on: 6/4/2025