42D2285169 CLIA NUMBER - REZK HEALTHCARE LLD DBA SUNRISE HOSPICE

Laboratory Demographics

CLIA Number: 42D2285169

Facility Name: REZK HEALTHCARE LLD DBA SUNRISE HOSPICE

Facility Address:
10177 N KINGS HWY, UNIT 71
MYRTLE BEACH, SC
ZIP 29572
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Facility Phone Number: 724 422-4733

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1053023952

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	42D2285169
LAB Type	Hospice
Facility Name	REZK HEALTHCARE LLD DBA SUNRISE HOSPICE
Street	10177 N KINGS HWY, UNIT 71
City	MYRTLE BEACH
State	SC
ZIP	29572
Phone	724 422-4733
CertificateType	4
CertificateEffectiveDate	7/7/2023
CertificateExpirationDate	7/6/2025
FacilityType	Waiver

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