03D2301946 CLIA NUMBER - SUPREME CARE HOSPICE INC

Laboratory Demographics

  • CLIA Code: 03D2301946
  • Facility Name: SUPREME CARE HOSPICE INC
  • Facility Address: 13201 N 35TH AVE STE B7A
    PHOENIX, AZ
    ZIP 85029
  • Facility Phone: 602 881-8170
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: HARON RELAMPAGOS
  • NPI Number: 1689337297
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2301946
LAB Type Hospice
Facility Name SUPREME CARE HOSPICE INC
Street 13201 N 35TH AVE STE B7A
City PHOENIX
State AZ
ZIP 85029
Phone 602 881-8170
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2024
Certificate Expiration Date 4/2/2026
Facility Type Hospice
Lab Director HARON RELAMPAGOS

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