03D2315930 CLIA NUMBER - ENCORE HOSPICE

Laboratory Demographics

  • CLIA Code: 03D2315930
  • Facility Name: ENCORE HOSPICE
  • Facility Address: 4122 W INNOVATIVE DR STE 101 H & I
    PHOENIX, AZ
    ZIP 85086
  • Facility Phone: 623 248-6636
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: AVA H. CARLSON
  • NPI Number: 1255043816
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 03D2315930
LAB Type Hospice
Facility Name ENCORE HOSPICE
Street 4122 W INNOVATIVE DR STE 101 H & I
City PHOENIX
State AZ
ZIP 85086
Phone 623 248-6636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Hospice
Lab Director AVA H. CARLSON

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