42D1080024 CLIA NUMBER - FAMILY HOSPICE OF GREENVILLE, LLC

Laboratory Demographics

CLIA Number: 42D1080024

Facility Name: FAMILY HOSPICE OF GREENVILLE, LLC

Facility Address:
1312 AUGUSTA STREET
GREENVILLE, SC
ZIP 29605
Get Directions

Facility Phone Number: 864 435-9200

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1649457870

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	42D1080024
LAB Type	Hospice
Facility Name	FAMILY HOSPICE OF GREENVILLE, LLC
Street	1312 AUGUSTA STREET
City	GREENVILLE
State	SC
ZIP	29605
Phone	864 435-9200
CertificateType	4
CertificateEffectiveDate	8/20/2022
CertificateExpirationDate	8/19/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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