03D2213213 CLIA NUMBER - LOYAL HOSPICE & PALLIATIVE CARE, LLC

Laboratory Demographics

  • CLIA Code: 03D2213213
  • Facility Name: LOYAL HOSPICE & PALLIATIVE CARE, LLC
  • Facility Address: 5059 S LAKEWOOD RD
    FORT MOHAVE, AZ
    ZIP 86426
  • Facility Phone: 928 278-4354
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JOHN HASSETT
  • NPI Number: 1841882198
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2213213
LAB Type Hospice
Facility Name LOYAL HOSPICE & PALLIATIVE CARE, LLC
Street 5059 S LAKEWOOD RD
City FORT MOHAVE
State AZ
ZIP 86426
Phone 928 278-4354
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Hospice
Lab Director JOHN HASSETT

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