42D2220778 CLIA NUMBER - SUNSPIRE HEALTH HILTON HEAD

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Laboratory Demographics

CLIA Number: 42D2220778

Facility Name: SUNSPIRE HEALTH HILTON HEAD

Facility Address:
84 ULMER RD
BLUFFTON, SC
ZIP 29910
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Facility Phone Number: 843 869-8040

Facility Type: Other - SOCIAL DETOX

Certificate Type: Waiver

NPI Number: 1255801973

Taxonomy: 261QM0850X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

CLIA Record

Field Name	Field Value
CLIA Number	42D2220778
LAB Type	Other - SOCIAL DETOX
Facility Name	SUNSPIRE HEALTH HILTON HEAD
Street	84 ULMER RD
City	BLUFFTON
State	SC
ZIP	29910
Phone	843 869-8040
CertificateType	4
CertificateEffectiveDate	4/15/2023
CertificateExpirationDate	4/14/2025
FacilityType	Waiver

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