42D1039073 CLIA NUMBER - HEARTLAND HOSPICE SERVICES - GREENVILLE

Laboratory Demographics

CLIA Number: 42D1039073

Facility Name: HEARTLAND HOSPICE SERVICES - GREENVILLE

Facility Address:
421 SE MAIN ST SUITE 100
SIMPSONVILLE, SC
ZIP 29681
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Facility Phone Number: 864 963-0045

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1285759399

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	42D1039073
LAB Type	Hospice
Facility Name	HEARTLAND HOSPICE SERVICES - GREENVILLE
Street	421 SE MAIN ST SUITE 100
City	SIMPSONVILLE
State	SC
ZIP	29681
Phone	864 963-0045
CertificateType	4
CertificateEffectiveDate	4/4/2023
CertificateExpirationDate	4/3/2025
FacilityType	Waiver

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