03D2289073 CLIA NUMBER - ANTHEM EAST

Laboratory Demographics

  • CLIA Code: 03D2289073
  • Facility Name: ANTHEM EAST
  • Facility Address: 6650 N ORACLE RD STE 101
    TUCSON, AZ
    ZIP 85704
  • Facility Phone: 520 524-4782
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JENNIFER HEDRICK
  • NPI Number: 1710697750
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2289073
LAB Type Hospice
Facility Name ANTHEM EAST
Street 6650 N ORACLE RD STE 101
City TUCSON
State AZ
ZIP 85704
Phone 520 524-4782
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Hospice
Lab Director JENNIFER HEDRICK

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