03D2207433 CLIA NUMBER - STAR HOSPICE INC

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Laboratory Demographics

CLIA Number: 03D2207433

Facility Name: STAR HOSPICE INC

Facility Address:
2415 E CAMELBACK RD 700-775
PHOENIX, AZ
ZIP 85016
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Facility Phone Number: 480 690-6514

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1477140671

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2207433
LAB Type	Hospice
Facility Name	STAR HOSPICE INC
Street	2415 E CAMELBACK RD 700-775
City	PHOENIX
State	AZ
ZIP	85016
Phone	480 690-6514
CertificateType	4
CertificateEffectiveDate	12/28/2022
CertificateExpirationDate	12/27/2024
FacilityType	Waiver

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