42D2244473 CLIA NUMBER - COMPASSIONATE CARE OF HARTSVILLE

Laboratory Demographics

CLIA Number: 42D2244473

Facility Name: COMPASSIONATE CARE OF HARTSVILLE

Facility Address:
750 W CAROLINA AVE
HARTSVILLE, SC
ZIP 29550
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Facility Phone Number: 843 951-9990

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1063173458

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	42D2244473
LAB Type	Physician Office
Facility Name	COMPASSIONATE CARE OF HARTSVILLE
Street	750 W CAROLINA AVE
City	HARTSVILLE
State	SC
ZIP	29550
Phone	843 951-9990
CertificateType	4
CertificateEffectiveDate	12/2/2023
CertificateExpirationDate	12/1/2025
FacilityType	Waiver

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