03D2218751 CLIA NUMBER - CANYON HOME CARE & HOSPICE

Laboratory Demographics

  • CLIA Code: 03D2218751
  • Facility Name: CANYON HOME CARE & HOSPICE
  • Facility Address: 10150 W DESERT RIVER BLVD, STE A-110
    GLENDALE, AZ
    ZIP 85307
  • Facility Phone: 602 216-2273
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: EMILY VICKERY
  • NPI Number: 1912969387
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2218751
LAB Type Hospice
Facility Name CANYON HOME CARE & HOSPICE
Street 10150 W DESERT RIVER BLVD, STE A-110
City GLENDALE
State AZ
ZIP 85307
Phone 602 216-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Hospice
Lab Director EMILY VICKERY

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