03D2212106 CLIA NUMBER - PHOENIX HOSPICE & PALLIATIVE CARE, LLC DBA ENDEAVOR HOSPICE

Laboratory Demographics

  • CLIA Code: 03D2212106
  • Facility Name: PHOENIX HOSPICE & PALLIATIVE CARE, LLC DBA ENDEAVOR HOSPICE
  • Facility Address: 4858 E BASELINE RD STE 102
    MESA, AZ
    ZIP 85206
  • Facility Phone: 480 674-8228
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ARMEN DERIAN
  • NPI Number: 1841881992
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2212106
LAB Type Hospice
Facility Name PHOENIX HOSPICE & PALLIATIVE CARE, LLC DBA ENDEAVOR HOSPICE
Street 4858 E BASELINE RD STE 102
City MESA
State AZ
ZIP 85206
Phone 480 674-8228
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Hospice
Lab Director ARMEN DERIAN

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