03D2313102 CLIA NUMBER - VALLEYSIDE HOSPICE INC

Laboratory Demographics

  • CLIA Code: 03D2313102
  • Facility Name: VALLEYSIDE HOSPICE INC
  • Facility Address: 9200 E RAINTREE DR STE 120
    SCOTTSDALE, AZ
    ZIP 85260
  • Facility Phone: 480 535-6188
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: VARUZHAN MOVSESYAN
  • NPI Number: 1790457406
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2313102
LAB Type Hospice
Facility Name VALLEYSIDE HOSPICE INC
Street 9200 E RAINTREE DR STE 120
City SCOTTSDALE
State AZ
ZIP 85260
Phone 480 535-6188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Hospice
Lab Director VARUZHAN MOVSESYAN

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