03D2214384 CLIA NUMBER - AMADEO HOSPICE INC

Laboratory Demographics

CLIA Number: 03D2214384

Facility Name: AMADEO HOSPICE INC

Facility Address:
13416 N 32ND ST STE 102
PHOENIX, AZ
ZIP 85032
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Facility Phone Number: 602 368-4366

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1104422781

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2214384
LAB Type	Hospice
Facility Name	AMADEO HOSPICE INC
Street	13416 N 32ND ST STE 102
City	PHOENIX
State	AZ
ZIP	85032
Phone	602 368-4366
CertificateType	4
CertificateEffectiveDate	2/22/2023
CertificateExpirationDate	2/21/2025
FacilityType	Waiver

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