03D2049627 CLIA NUMBER - AVANZAR HOME HEALTH CARE, LLC

Laboratory Demographics

  • CLIA Code: 03D2049627
  • Facility Name: AVANZAR HOME HEALTH CARE, LLC
  • Facility Address: 455 N MESA DR STE 9
    MESA, AZ
    ZIP 85201
  • Facility Phone: 480 359-9501
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARIA V. EVANGELISTA
  • NPI Number: 1215291349
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 03D2049627
LAB Type Home Health Agency
Facility Name AVANZAR HOME HEALTH CARE, LLC
Street 455 N MESA DR STE 9
City MESA
State AZ
ZIP 85201
Phone 480 359-9501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Home Health Agency
Lab Director MARIA V. EVANGELISTA

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This page was last updated on: 3/20/2025