03D2296784 CLIA NUMBER - LIFETIME HOSPICE CARE INC DBA, WEST CARE HOSPICE & PALLIATIVE CARE

Laboratory Demographics

  • CLIA Code: 03D2296784
  • Facility Name: LIFETIME HOSPICE CARE INC DBA, WEST CARE HOSPICE & PALLIATIVE CARE
  • Facility Address: 2025 N 3RD ST STE 165
    PHOENIX, AZ
    ZIP 85004
  • Facility Phone: 602 402-6619
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SHU TING KUNG
  • NPI Number: 1770232068
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2296784
LAB Type Hospice
Facility Name LIFETIME HOSPICE CARE INC DBA, WEST CARE HOSPICE & PALLIATIVE CARE
Street 2025 N 3RD ST STE 165
City PHOENIX
State AZ
ZIP 85004
Phone 602 402-6619
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/5/2024
Certificate Expiration Date 1/4/2026
Facility Type Hospice
Lab Director SHU TING KUNG

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