46D2005220 CLIA NUMBER - ASPIRE HOSPICE CARE INC

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Laboratory Demographics

CLIA Number: 46D2005220

Facility Name: ASPIRE HOSPICE CARE INC

Facility Address:
1020 WEST ATHERTON DR SUITE 220
TAYLORSVILLE, UT
ZIP 84123
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Facility Phone Number: 801 292-0296

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1609002120

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	46D2005220
LAB Type	Hospice
Facility Name	ASPIRE HOSPICE CARE INC
Street	1020 WEST ATHERTON DR SUITE 220
City	TAYLORSVILLE
State	UT
ZIP	84123
Phone	801 292-0296
CertificateType	4
CertificateEffectiveDate	3/23/2024
CertificateExpirationDate	3/22/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024