42D2095296 CLIA NUMBER - HOMESTEAD HOSPICE OF CHARLESTON LLC

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Laboratory Demographics

CLIA Number: 42D2095296

Facility Name: HOMESTEAD HOSPICE OF CHARLESTON LLC

Facility Address:
133 EAST 1ST NORTH STREET, SUITE 9
SUMMERVILLE, SC
ZIP 29483
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Facility Phone Number: (843) 266-1100

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1003209693

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	42D2095296
LAB Type	HOSPICE
Facility Name	HOMESTEAD HOSPICE OF CHARLESTON LLC
Street	133 EAST 1ST NORTH STREET, SUITE 9
City	SUMMERVILLE
State	SC
ZIP	29483
Phone	(843) 266-1100

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This page was last updated on: 5/11/2023