42D0981665 CLIA NUMBER - FOOTHILLS ASSISTED LIVING LLC CITE HEALTH MANAGEMENT SERVICES DBA

Laboratory Demographics

CLIA Number: 42D0981665

Facility Name: FOOTHILLS ASSISTED LIVING LLC CITE HEALTH MANAGEMENT SERVICES DBA

Facility Address:
999 WEST UNION ROAD
WEST UNION, SC
ZIP 29696
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Facility Phone Number: 864 638-4370

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1518126036

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name Field Value
CLIA Number 42D0981665
LAB Type Other
Facility Name FOOTHILLS ASSISTED LIVING LLC CITE HEALTH MANAGEMENT SERVICES DBA
Street 999 WEST UNION ROAD
City WEST UNION
State SC
ZIP 29696
Phone 864 638-4370
CertificateType 4
CertificateEffectiveDate 1/3/2023
CertificateExpirationDate 1/2/2025
FacilityType Waiver

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