14D2201468 CLIA NUMBER - UNITY HOSPICE OF GREATER ST LOUIS, LLC

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Laboratory Demographics

CLIA Number: 14D2201468

Facility Name: UNITY HOSPICE OF GREATER ST LOUIS, LLC

Facility Address:
1604 EASTPORT PLAZA DR
COLLINSVILLE, IL
ZIP 62234
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Facility Phone Number: 618 346-1111

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1245319367

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	14D2201468
LAB Type	Hospice
Facility Name	UNITY HOSPICE OF GREATER ST LOUIS, LLC
Street	1604 EASTPORT PLAZA DR
City	COLLINSVILLE
State	IL
ZIP	62234
Phone	618 346-1111
CertificateType	4
CertificateEffectiveDate	11/20/2022
CertificateExpirationDate	11/19/2024
FacilityType	Waiver

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