03D2255869 CLIA NUMBER - CREEK VIEW HOME HEALTH LLC

Laboratory Demographics

  • CLIA Code: 03D2255869
  • Facility Name: CREEK VIEW HOME HEALTH LLC
  • Facility Address: 4657 E COTTON GIN LOOP STE 102A
    PHOENIX, AZ
    ZIP 85040
  • Facility Phone: 602 603-5161
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JENNIFER BASILIO
  • NPI Number: 1144977968
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2255869
LAB Type Home Health Agency
Facility Name CREEK VIEW HOME HEALTH LLC
Street 4657 E COTTON GIN LOOP STE 102A
City PHOENIX
State AZ
ZIP 85040
Phone 602 603-5161
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Home Health Agency
Lab Director JENNIFER BASILIO

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This page was last updated on: 6/4/2025