03D2277561 CLIA NUMBER - SUPPORTIVE HANDS HOSPICE INC

Laboratory Demographics

  • CLIA Code: 03D2277561
  • Facility Name: SUPPORTIVE HANDS HOSPICE INC
  • Facility Address: 2930 E CAMELBACK RD STE 120
    PHOENIX, AZ
    ZIP 85016
  • Facility Phone: 602 806-7205
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CHARLOTTE IGO
  • NPI Number: 1700554516
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2277561
LAB Type Hospice
Facility Name SUPPORTIVE HANDS HOSPICE INC
Street 2930 E CAMELBACK RD STE 120
City PHOENIX
State AZ
ZIP 85016
Phone 602 806-7205
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Hospice
Lab Director CHARLOTTE IGO

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