01D2051778 CLIA NUMBER - SOUTHERNCARE, INC

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Laboratory Demographics

CLIA Number: 01D2051778

Facility Name: SOUTHERNCARE, INC

Facility Address:
501 E COMMERCE STREET
GREENVILLE, AL
ZIP 36037
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Facility Phone Number: 704 664-2876

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1871525238

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	01D2051778
LAB Type	Hospice
Facility Name	SOUTHERNCARE, INC
Street	501 E COMMERCE STREET
City	GREENVILLE
State	AL
ZIP	36037
Phone	704 664-2876
CertificateType	4
CertificateEffectiveDate	12/27/2022
CertificateExpirationDate	12/26/2024
FacilityType	Waiver

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