42D2125172 CLIA NUMBER - DIVINE HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 42D2125172
  • Facility Name: DIVINE HOSPICE, LLC
  • Facility Address: 115 WHITEHALL RD
    ANDERSON, SC
    ZIP 29625
  • Facility Phone: 864 965-7660
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SANJEEV KUMAR
  • NPI Number: 1700329455
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 42D2125172
LAB Type Hospice
Facility Name DIVINE HOSPICE, LLC
Street 115 WHITEHALL RD
City ANDERSON
State SC
ZIP 29625
Phone 864 965-7660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/1/2025
Certificate Expiration Date 1/31/2027
Facility Type Hospice
Lab Director SANJEEV KUMAR

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This page was last updated on: 9/29/2025