03D2275292 CLIA NUMBER - OPEN HEARTS FAMILY WELLNESS

Laboratory Demographics

  • CLIA Code: 03D2275292
  • Facility Name: OPEN HEARTS FAMILY WELLNESS
  • Facility Address: 4414 N 19TH AVE
    PHOENIX, AZ
    ZIP 85015
  • Facility Phone: 602 285-5550
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JENNIFER LINEHAN
  • NPI Number: 1265544324
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 03D2275292
LAB Type Home Health Agency
Facility Name OPEN HEARTS FAMILY WELLNESS
Street 4414 N 19TH AVE
City PHOENIX
State AZ
ZIP 85015
Phone 602 285-5550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Home Health Agency
Lab Director JENNIFER LINEHAN

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This page was last updated on: 3/20/2025