03D2218757 CLIA NUMBER - SAVIOR HOSPICE CASA GRANDE

Laboratory Demographics

CLIA Number: 03D2218757

Facility Name: SAVIOR HOSPICE CASA GRANDE

Facility Address:
1640 N PEART RD
CASA GRANDE, AZ
ZIP 85122
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Facility Phone Number: 480 320-4733

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1457778425

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2218757
LAB Type	Hospice
Facility Name	SAVIOR HOSPICE CASA GRANDE
Street	1640 N PEART RD
City	CASA GRANDE
State	AZ
ZIP	85122
Phone	480 320-4733
CertificateType	4
CertificateEffectiveDate	3/30/2023
CertificateExpirationDate	3/29/2025
FacilityType	Waiver

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