03D2256740 CLIA NUMBER - AEGIS HOSPICE

Laboratory Demographics

  • CLIA Code: 03D2256740
  • Facility Name: AEGIS HOSPICE
  • Facility Address: 4950 S LINDSAY RD
    CHANDLER, AZ
    ZIP 85249
  • Facility Phone: 480 219-4790
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: BENJAMIN LARSEN
  • NPI Number: 1356614754
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2256740
LAB Type Hospice
Facility Name AEGIS HOSPICE
Street 4950 S LINDSAY RD
City CHANDLER
State AZ
ZIP 85249
Phone 480 219-4790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2024
Certificate Expiration Date 3/27/2026
Facility Type Hospice
Lab Director BENJAMIN LARSEN

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