34D1011235 CLIA NUMBER - COMMUNITY HOSPICE, LLC DBA GENTIVA

Laboratory Demographics

CLIA Number: 34D1011235

Facility Name: COMMUNITY HOSPICE, LLC DBA GENTIVA

Facility Address:
1423 SOUTH GLENBURNIE ROAD, SUITE A
NEW BERN, NC
ZIP 28562
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Facility Phone Number: 704 664-2876

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1528015369

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	34D1011235
LAB Type	Hospice
Facility Name	COMMUNITY HOSPICE, LLC DBA GENTIVA
Street	1423 SOUTH GLENBURNIE ROAD, SUITE A
City	NEW BERN
State	NC
ZIP	28562
Phone	704 664-2876
CertificateType	4
CertificateEffectiveDate	4/4/2023
CertificateExpirationDate	4/3/2025
FacilityType	Waiver

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