34D0931153 CLIA NUMBER - AGAPE CARE NORTH CAROLINA, LLC DBA HOSPICE OF THE CAROLINA FOOTHILLS

Laboratory Demographics

CLIA Number: 34D0931153

Facility Name: AGAPE CARE NORTH CAROLINA, LLC DBA HOSPICE OF THE CAROLINA FOOTHILLS

Facility Address:
374 HUDLOW RD
FOREST CITY, NC
ZIP 28043
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Facility Phone Number: 800 932-2738

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1326041013

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	34D0931153
LAB Type	Hospice
Facility Name	AGAPE CARE NORTH CAROLINA, LLC DBA HOSPICE OF THE CAROLINA FOOTHILLS
Street	374 HUDLOW RD
City	FOREST CITY
State	NC
ZIP	28043
Phone	800 932-2738
CertificateType	4
CertificateEffectiveDate	7/24/2023
CertificateExpirationDate	7/23/2025
FacilityType	Waiver

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