42D0658770 CLIA NUMBER - RICHARD M CAMPBELL VETS NURSING HOME

Laboratory Demographics

CLIA Number: 42D0658770

Facility Name: RICHARD M CAMPBELL VETS NURSING HOME

Facility Address:
4605 BELTON HIGHWAY
ANDERSON, SC
ZIP 29621
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Facility Phone Number: 864 261-5350

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1790907756

Taxonomy: 1223X0400X - Dentist
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

CLIA Record

Field Name	Field Value
CLIA Number	42D0658770
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	RICHARD M CAMPBELL VETS NURSING HOME
Street	4605 BELTON HIGHWAY
City	ANDERSON
State	SC
ZIP	29621
Phone	864 261-5350
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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