03D2205389 CLIA NUMBER - BLISS HOSPICE CARE LLC

Laboratory Demographics

CLIA Number: 03D2205389

Facility Name: BLISS HOSPICE CARE LLC

Facility Address:
2550 W UNION HILLS DR #350-366
PHOENIX, AZ
ZIP 85027
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Facility Phone Number: 602 492-1643

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1386240604

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 03D2205389
LAB Type Hospice
Facility Name BLISS HOSPICE CARE LLC
Street 2550 W UNION HILLS DR #350-366
City PHOENIX
State AZ
ZIP 85027
Phone 602 492-1643
CertificateType 4
CertificateEffectiveDate 12/14/2022
CertificateExpirationDate 12/13/2024
FacilityType Waiver

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