03D2291853 CLIA NUMBER - SAMARITAN HOSPICE INC

Laboratory Demographics

  • CLIA Code: 03D2291853
  • Facility Name: SAMARITAN HOSPICE INC
  • Facility Address: 64 E BROADWAY RD STE 200 OFFICE 216
    TEMPE, AZ
    ZIP 85282
  • Facility Phone: 602 922-8233
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RICHARD MOOS
  • NPI Number: 1104582691
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2291853
LAB Type Hospice
Facility Name SAMARITAN HOSPICE INC
Street 64 E BROADWAY RD STE 200 OFFICE 216
City TEMPE
State AZ
ZIP 85282
Phone 602 922-8233
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2023
Certificate Expiration Date 10/16/2025
Facility Type Hospice
Lab Director RICHARD MOOS

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