03D2284120 CLIA NUMBER - NUEVA HOSPICE & PALLIATIVE CARE LLC

Laboratory Demographics

CLIA Number: 03D2284120

Facility Name: NUEVA HOSPICE & PALLIATIVE CARE LLC

Facility Address:
14362 N FRANK LLOYD WRIGHT BLVD STE 2162
SCOTTSDALE, AZ
ZIP 85260
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Facility Phone Number: 480 903-8511

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1407567829

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	03D2284120
LAB Type	Hospice
Facility Name	NUEVA HOSPICE & PALLIATIVE CARE LLC
Street	14362 N FRANK LLOYD WRIGHT BLVD STE 2162
City	SCOTTSDALE
State	AZ
ZIP	85260
Phone	480 903-8511
CertificateType	4
CertificateEffectiveDate	6/16/2023
CertificateExpirationDate	6/15/2025
FacilityType	Waiver

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