03D2207432 CLIA NUMBER - SKY HOSPICE INC DBA ARIZONA LIFE HOSPICE - MARICOPA

Laboratory Demographics

  • CLIA Code: 03D2207432
  • Facility Name: SKY HOSPICE INC DBA ARIZONA LIFE HOSPICE - MARICOPA
  • Facility Address: 4824 E BASELINE RD STE 133
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 708-0829
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MARIETTA LIM UY
  • NPI Number: 1922695121
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2207432
LAB Type Hospice
Facility Name SKY HOSPICE INC DBA ARIZONA LIFE HOSPICE - MARICOPA
Street 4824 E BASELINE RD STE 133
City MESA
State AZ
ZIP 85206
Phone 480 708-0829
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Hospice
Lab Director MARIETTA LIM UY

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