34D2252479 CLIA NUMBER - LIBERTY HOME CARE AND HOSPICE

Laboratory Demographics

CLIA Number: 34D2252479

Facility Name: LIBERTY HOME CARE AND HOSPICE

Facility Address:
115 NORTH 2ND STREET
SMITHFIELD, NC
ZIP 27577
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Facility Phone Number: 919 989-6792

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1124104757

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	34D2252479
LAB Type	Hospice
Facility Name	LIBERTY HOME CARE AND HOSPICE
Street	115 NORTH 2ND STREET
City	SMITHFIELD
State	NC
ZIP	27577
Phone	919 989-6792
CertificateType	4
CertificateEffectiveDate	2/11/2024
CertificateExpirationDate	2/10/2026
FacilityType	Waiver

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