42D2244993 CLIA NUMBER - HOSPICE SERVICES OF SC, LLC

Laboratory Demographics

CLIA Number: 42D2244993

Facility Name: HOSPICE SERVICES OF SC, LLC

Facility Address:
233 WEST AVENUE
NORTH AUGUSTA, SC
ZIP 29841
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Facility Phone Number: 803 599-5137

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1417557950

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	42D2244993
LAB Type	Hospice
Facility Name	HOSPICE SERVICES OF SC, LLC
Street	233 WEST AVENUE
City	NORTH AUGUSTA
State	SC
ZIP	29841
Phone	803 599-5137
CertificateType	4
CertificateEffectiveDate	12/8/2023
CertificateExpirationDate	12/7/2025
FacilityType	Waiver

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