03D2258037 CLIA NUMBER - AVESTA HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 03D2258037
  • Facility Name: AVESTA HOSPICE, INC
  • Facility Address: 312 N ALMA SCHOOL RD STE 14K
    CHANDLER, AZ
    ZIP 85224
  • Facility Phone: 602 820-8168
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: NATHAN DUFFIN
  • NPI Number: 1770250102
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2258037
LAB Type Hospice
Facility Name AVESTA HOSPICE, INC
Street 312 N ALMA SCHOOL RD STE 14K
City CHANDLER
State AZ
ZIP 85224
Phone 602 820-8168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2024
Certificate Expiration Date 4/13/2026
Facility Type Hospice
Lab Director NATHAN DUFFIN

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