42D0696664 CLIA NUMBER - LHCG CLXVI LLC DBA UNIVERSITY HOME HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 42D0696664
  • Facility Name: LHCG CLXVI LLC DBA UNIVERSITY HOME HEALTH SERVICES
  • Facility Address: 802 EAST MARTINTOWN ROAD, SUITE 401
    NORTH AUGUSTA, SC
    ZIP 29841
  • Facility Phone: 803 278-0770
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARY HARDEN
  • NPI Number: 1104199751
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0696664
LAB Type Home Health Agency
Facility Name LHCG CLXVI LLC DBA UNIVERSITY HOME HEALTH SERVICES
Street 802 EAST MARTINTOWN ROAD, SUITE 401
City NORTH AUGUSTA
State SC
ZIP 29841
Phone 803 278-0770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Home Health Agency
Lab Director MARY HARDEN

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This page was last updated on: 9/29/2025