03D2238313 CLIA NUMBER - VALIANT HOSPICE AND PALLIATIVE CARE, LLC

Laboratory Demographics

  • CLIA Code: 03D2238313
  • Facility Name: VALIANT HOSPICE AND PALLIATIVE CARE, LLC
  • Facility Address: 637 S 48TH ST STE 104
    TEMPE, AZ
    ZIP 85281
  • Facility Phone: 602 274-1952
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ANNETTE PENA
  • NPI Number: 1467991117
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2238313
LAB Type Hospice
Facility Name VALIANT HOSPICE AND PALLIATIVE CARE, LLC
Street 637 S 48TH ST STE 104
City TEMPE
State AZ
ZIP 85281
Phone 602 274-1952
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2023
Certificate Expiration Date 9/30/2025
Facility Type Hospice
Lab Director ANNETTE PENA

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