42D0909618 CLIA NUMBER - SPARTANBURG HOSP FOR RESTORATIVE CARE

Laboratory Demographics

CLIA Number: 42D0909618

Facility Name: SPARTANBURG HOSP FOR RESTORATIVE CARE

Facility Address:
389 SERPENTINE DRIVE
SPARTANBURG, SC
ZIP 29303
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Facility Phone Number: 864 560-3255

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1710127154

Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

CLIA Record

Field Name Field Value
CLIA Number 42D0909618
LAB Type Hospital
Facility Name SPARTANBURG HOSP FOR RESTORATIVE CARE
Street 389 SERPENTINE DRIVE
City SPARTANBURG
State SC
ZIP 29303
Phone 864 560-3255
CertificateType 1
CertificateEffectiveDate 11/18/2023
CertificateExpirationDate 11/17/2025
FacilityType Accreditation

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