42D1092254 CLIA NUMBER - FC MIDLANDS ROCKHILL, LLC D/B/A CAROLINA GARDENS AT ROCK HILL

Laboratory Demographics

CLIA Number: 42D1092254

Facility Name: FC MIDLANDS ROCKHILL, LLC D/B/A CAROLINA GARDENS AT ROCK HILL

Facility Address:
1785 LEXINGTON COMMONS DRIVE
ROCK HILL, SC
ZIP 29732
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Facility Phone Number: 803 207-8000

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1295109783

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	42D1092254
LAB Type	Assisted Living Facility
Facility Name	FC MIDLANDS ROCKHILL, LLC D/B/A CAROLINA GARDENS AT ROCK HILL
Street	1785 LEXINGTON COMMONS DRIVE
City	ROCK HILL
State	SC
ZIP	29732
Phone	803 207-8000
CertificateType	4
CertificateEffectiveDate	11/20/2022
CertificateExpirationDate	11/19/2024
FacilityType	Waiver

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