03D2233107 CLIA NUMBER - PRISTINE HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 03D2233107
  • Facility Name: PRISTINE HOSPICE LLC
  • Facility Address: 8607 N 59TH AVE STE A1
    GLENDALE, AZ
    ZIP 85302
  • Facility Phone: 480 343-8045
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER LANG
  • NPI Number: 1659029379
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2233107
LAB Type Hospice
Facility Name PRISTINE HOSPICE LLC
Street 8607 N 59TH AVE STE A1
City GLENDALE
State AZ
ZIP 85302
Phone 480 343-8045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2025
Certificate Expiration Date 8/18/2027
Facility Type Hospice
Lab Director CHRISTOPHER LANG

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