03D2255870 CLIA NUMBER - CREEK VIEW HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 03D2255870
  • Facility Name: CREEK VIEW HOSPICE LLC
  • Facility Address: 4657 E COTTON GIN LOOP STE 102B
    PHOENIX, AZ
    ZIP 85040
  • Facility Phone: 602 603-5165
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JENNIFER BASILIO
  • NPI Number: 1538816350
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2255870
LAB Type Hospice
Facility Name CREEK VIEW HOSPICE LLC
Street 4657 E COTTON GIN LOOP STE 102B
City PHOENIX
State AZ
ZIP 85040
Phone 602 603-5165
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 Hospice
Lab Director JENNIFER BASILIO

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