34D2158221 CLIA NUMBER - HOSPICE OF THE SOUTH DBA GOOD SHEPHERD HOSPICE

Laboratory Demographics

CLIA Number: 34D2158221

Facility Name: HOSPICE OF THE SOUTH DBA GOOD SHEPHERD HOSPICE

Facility Address:
125 MEDICAL PARK LANE
MURPHY, NC
ZIP 28906
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Facility Phone Number: 423 309-3884

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1588640890

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	34D2158221
LAB Type	Hospice
Facility Name	HOSPICE OF THE SOUTH DBA GOOD SHEPHERD HOSPICE
Street	125 MEDICAL PARK LANE
City	MURPHY
State	NC
ZIP	28906
Phone	423 309-3884
CertificateType	4
CertificateEffectiveDate	11/26/2022
CertificateExpirationDate	11/25/2024
FacilityType	Waiver

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