03D2268428 CLIA NUMBER - COMPASSION CARE HOSPICE LLC

Laboratory Demographics

CLIA Number: 03D2268428

Facility Name: COMPASSION CARE HOSPICE LLC

Facility Address:
222 S MILL AVE STE 800
TEMPE, AZ
ZIP 85281
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Facility Phone Number: 602 609-8523

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1215662440

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 03D2268428
LAB Type Hospice
Facility Name COMPASSION CARE HOSPICE LLC
Street 222 S MILL AVE STE 800
City TEMPE
State AZ
ZIP 85281
Phone 602 609-8523
CertificateType 4
CertificateEffectiveDate 9/12/2022
CertificateExpirationDate 9/11/2024
FacilityType Waiver

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