42D2046131 CLIA NUMBER - CHEROKEE CO DETENTION CENTER

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Laboratory Demographics

CLIA Number: 42D2046131

Facility Name: CHEROKEE CO DETENTION CENTER

Facility Address:
315 E DR LM ROSEMOND LANE
GAFFNEY, SC
ZIP 29340
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Facility Phone Number: 423 553-5635

Facility Type: Other - JAIL MEDICAL UNIT

Certificate Type: Waiver

NPI Number: 1487669123

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	42D2046131
LAB Type	Other - JAIL MEDICAL UNIT
Facility Name	CHEROKEE CO DETENTION CENTER
Street	315 E DR LM ROSEMOND LANE
City	GAFFNEY
State	SC
ZIP	29340
Phone	423 553-5635
CertificateType	4
CertificateEffectiveDate	8/28/2022
CertificateExpirationDate	8/27/2024
FacilityType	Waiver

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