42D0957032 CLIA NUMBER - ROLLING GREEN VILLAGE

Laboratory Demographics

  • CLIA Code: 42D0957032
  • Facility Name: ROLLING GREEN VILLAGE
  • Facility Address: 1 HOKE SMITH BOULEVARD
    GREENVILLE, SC
    ZIP 29615
  • Facility Phone: 864 987-9800
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LEGARE SHYMSKE
  • NPI Number: 1669070223
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D0957032
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ROLLING GREEN VILLAGE
Street 1 HOKE SMITH BOULEVARD
City GREENVILLE
State SC
ZIP 29615
Phone 864 987-9800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director LEGARE SHYMSKE

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