03D2292074 CLIA NUMBER - RIVER HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 03D2292074
  • Facility Name: RIVER HOSPICE LLC
  • Facility Address: 2220 S COUNTRY CLUB DR, STE 109
    MESA, AZ
    ZIP 85210
  • Facility Phone: 480 426-8900
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: FLEUR F. MAGBANUA
  • NPI Number: 1275295057
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2292074
LAB Type Hospice
Facility Name RIVER HOSPICE LLC
Street 2220 S COUNTRY CLUB DR, STE 109
City MESA
State AZ
ZIP 85210
Phone 480 426-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2025
Certificate Expiration Date 10/18/2027
Facility Type Hospice
Lab Director FLEUR F. MAGBANUA

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