03D2205815 CLIA NUMBER - UNICARE HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 03D2205815
  • Facility Name: UNICARE HOSPICE, INC
  • Facility Address: 105 W 16TH ST STE A
    YUMA, AZ
    ZIP 85364
  • Facility Phone: 928 248-4110
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: WISSAM A. FAYAD
  • NPI Number: 1023644887
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2205815
LAB Type Hospice
Facility Name UNICARE HOSPICE, INC
Street 105 W 16TH ST STE A
City YUMA
State AZ
ZIP 85364
Phone 928 248-4110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/16/2024
Certificate Expiration Date 12/15/2026
Facility Type Hospice
Lab Director WISSAM A. FAYAD

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