03D2280271 CLIA NUMBER - VITAL HOMECARE INC

Laboratory Demographics

  • CLIA Code: 03D2280271
  • Facility Name: VITAL HOMECARE INC
  • Facility Address: 2375 E CAMELBACK RD STE 600 UNIT 618
    PHOENIX, AZ
    ZIP 85016
  • Facility Phone: 480 281-9096
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: FERAS ALDAOUD
  • NPI Number: 1144828831
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2280271
LAB Type Home Health Agency
Facility Name VITAL HOMECARE INC
Street 2375 E CAMELBACK RD STE 600 UNIT 618
City PHOENIX
State AZ
ZIP 85016
Phone 480 281-9096
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Home Health Agency
Lab Director FERAS ALDAOUD

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