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42D2133600 CLIA NUMBER - HOSPICE & PALLIATIVE CARE PALMETTO REGION

Laboratory Demographics

CLIA Number: 42D2133600

Facility Name: HOSPICE & PALLIATIVE CARE PALMETTO REGION

Facility Address:
1057 RED VENTURES DRIVE, SUITE 150
FORT MILL, SC
ZIP 29707
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Facility Phone Number: 803 548-3708

Facility Type: Hospice

Certificate Type: Waiver
NPI Number: 1417570771

Taxonomy: 207QH0002X - Family Medicine
A family medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

CLIA Record

Field Name Field Value
CLIA Number 42D2133600
LAB Type Hospice
Facility Name HOSPICE & PALLIATIVE CARE PALMETTO REGION
Street 1057 RED VENTURES DRIVE, SUITE 150
City FORT MILL
State SC
ZIP 29707
Phone 803 548-3708
CertificateType 4
CertificateEffectiveDate 7/17/2023
CertificateExpirationDate 7/16/2025
FacilityType Waiver

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