03D2212104 CLIA NUMBER - TRANSCENDENCE HOSPICE & PALLIATIVE CARE, LLC

Laboratory Demographics

CLIA Number: 03D2212104

Facility Name: TRANSCENDENCE HOSPICE & PALLIATIVE CARE, LLC

Facility Address:
8146 N 23RD AVE STE J
PHOENIX, AZ
ZIP 85021
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Facility Phone Number: 602 293-3625

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1639760796

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2212104
LAB Type	Hospice
Facility Name	TRANSCENDENCE HOSPICE & PALLIATIVE CARE, LLC
Street	8146 N 23RD AVE STE J
City	PHOENIX
State	AZ
ZIP	85021
Phone	602 293-3625
CertificateType	4
CertificateEffectiveDate	2/2/2023
CertificateExpirationDate	2/1/2025
FacilityType	Waiver

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