03D2229306 CLIA NUMBER - ADVOCATE HOSPICE AND PALLIATIVE CARE LLC

Laboratory Demographics

  • CLIA Code: 03D2229306
  • Facility Name: ADVOCATE HOSPICE AND PALLIATIVE CARE LLC
  • Facility Address: 7600 N 16TH ST STE 112
    PHOENIX, AZ
    ZIP 85018
  • Facility Phone: 602 830-0605
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KEVIN G. JACKSON
  • NPI Number: 1073199394
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2229306
LAB Type Hospice
Facility Name ADVOCATE HOSPICE AND PALLIATIVE CARE LLC
Street 7600 N 16TH ST STE 112
City PHOENIX
State AZ
ZIP 85018
Phone 602 830-0605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Hospice
Lab Director KEVIN G. JACKSON

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