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AGAPE FAMILY WELLNESS
NPI 1801658117
Clinic/Center in Phoenix, AZ

Active since January 23, 2024CLIA 03D2311970 · Waiver
640 W MARYLAND AVE STE 4, PHOENIX, AZ 85013(602) 795-8122(833) 973-0963 Get Directions Write a Review

NPPES record last updated: January 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Agape Family Wellness NPPES

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

AGAPE FAMILY WELLNESS (NPI 1801658117) is a healthcare organization registered as a clinic/center in Phoenix, Arizona and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through October 1, 2026 and lists Ronda Slickman, Fnp, as its authorized official.

NPPES Registry Identity

NPI1801658117
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAGAPE FAMILY WELLNESS
Location Address640 W MARYLAND AVE STE 4Phoenix, AZ 85013-1398
Mailing Address640 W Maryland Ave Ste 4Phoenix, AZ 85013-1398 · (602) 795-8122 · Fax (833) 973-0963
Phone(602) 795-8122
Fax(833) 973-0963
Organization SubpartNo
Authorized OfficialRonda SlickmanFnp · (602) 770-8571
Enumeration DateJanuary 23, 2024
Last NPPES UpdateJanuary 18, 2025
NPPES CertifiedJanuary 18, 2025
✔ NPI 1801658117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
640 W MARYLAND AVE STE 4, Phoenix, AZ 85013
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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 03D2311970

Agape Family Wellness · Phoenix, AZ
Active · expires Oct 1, 2026
CLIA Number03D2311970
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateOctober 1, 2026
Laboratory DirectorRonda Slickman
Laboratory Phone(602) 795-8122
Laboratory LocationAgape Family Wellness640 W Maryland Ave Ste 4, Phoenix, AZ 85013
CLIA data matches this NPI record on: Address 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 Agape Family Wellness's NPI number?

The NPI number for Agape Family Wellness is 1801658117. It was assigned to this organization in the NPPES registry on January 23, 2024.

Where is Agape Family Wellness located?

Agape Family Wellness is located at 640 W Maryland Ave Ste 4, Phoenix, AZ 85013. The listed phone number is (602) 795-8122.

What is Agape Family Wellness's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Agape Family Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2311970) is associated with this NPI, valid through October 1, 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 Agape Family Wellness was last updated on January 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.