42D1029483 CLIA NUMBER - LAKEVIEW ASSISTED LIVING

Laboratory Demographics

CLIA Number: 42D1029483

Facility Name: LAKEVIEW ASSISTED LIVING

Facility Address:
320 CAMP ROAD
WALHALLA, SC
ZIP 29691
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Facility Phone Number: 864 638-5212

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1619350386

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	42D1029483
LAB Type	Other
Facility Name	LAKEVIEW ASSISTED LIVING
Street	320 CAMP ROAD
City	WALHALLA
State	SC
ZIP	29691
Phone	864 638-5212
CertificateType	4
CertificateEffectiveDate	8/17/2022
CertificateExpirationDate	8/16/2024
FacilityType	Waiver

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