03D2246618 CLIA NUMBER - ALLIANCE HOME CARE LLC

Laboratory Demographics

CLIA Number: 03D2246618

Facility Name: ALLIANCE HOME CARE LLC

Facility Address:
17220 N BOSWELL BLVD STE 119
SUN CITY, AZ
ZIP 85373
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Facility Phone Number: 623 215-5794

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1235809500

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 03D2246618
LAB Type Home Health Agency
Facility Name ALLIANCE HOME CARE LLC
Street 17220 N BOSWELL BLVD STE 119
City SUN CITY
State AZ
ZIP 85373
Phone 623 215-5794
CertificateType 4
CertificateEffectiveDate 12/28/2023
CertificateExpirationDate 12/27/2025
FacilityType Waiver

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