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QUIVIRA HEALTHCARE LLC
NPI 1174144174
Hospice Care, Community Based in Mesa, AZ

Active since April 30, 2020CLIA 03D2191487 · Waiver
1910 S STAPLEY DR STE 221-249, MESA, AZ 85204(602) 609-6777(602) 609-6777 Get Directions Write a Review

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Quivira Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUIVIRA HEALTHCARE LLC (NPI 1174144174) is a healthcare organization registered as a hospice care, community based in Mesa, Arizona and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through August 26, 2026 and lists Trevor Collette, Member, as its authorized official.

NPPES Registry Identity

NPI1174144174
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameQUIVIRA HEALTHCARE LLC
Location Address1910 S STAPLEY DR STE 221-249Mesa, AZ 85204-6674
Mailing Address1910 S Stapley Dr Ste 221-249Mesa, AZ 85204-6674 · (602) 609-6777 · Fax (602) 609-6777
Phone(602) 609-6777
Fax(602) 609-6777
Organization SubpartNo
Authorized OfficialTrevor ColletteMember · (602) 609-6777
Enumeration DateApril 30, 2020
NPPES CertifiedApril 30, 2020
✔ NPI 1174144174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
1910 S STAPLEY DR STE 221-249, Mesa, AZ 85204
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2191487

Quivira Healthcare LLC · Glendale, AZ
Active · expires Aug 26, 2026
CLIA Number03D2191487
Laboratory TypeHospice
Certificate Effective DateAugust 27, 2024
Certificate Expiration DateAugust 26, 2026
Laboratory DirectorArun Lakshmipathy
Laboratory Phone(602) 609-6777
Laboratory LocationQuivira Healthcare LLC17505 N 79th Ave Ste 108, Glendale, AZ 85308
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Quivira Healthcare LLC's NPI number?

The NPI number for Quivira Healthcare LLC is 1174144174. It was assigned to this organization in the NPPES registry on April 30, 2020.

Where is Quivira Healthcare LLC located?

Quivira Healthcare LLC is located at 1910 S Stapley Dr Ste 221-249, Mesa, AZ 85204. The listed phone number is (602) 609-6777.

What is Quivira Healthcare LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Quivira Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2191487) is associated with this NPI, valid through August 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Quivira Healthcare LLC was last updated on April 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.