42D2288802 CLIA NUMBER - LEAN ON ME CONSULTING, LLC

Laboratory Demographics

CLIA Number: 42D2288802

Facility Name: LEAN ON ME CONSULTING, LLC

Facility Address:
2165 GOLD HILL ROAD, SUITE 4
FORT MILL, SC
ZIP 29708
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Facility Phone Number: 803 973-0221

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1063055879

Taxonomy: 101YM0800X - Counselor

CLIA Record

Field Name	Field Value
CLIA Number	42D2288802
LAB Type	Independent
Facility Name	LEAN ON ME CONSULTING, LLC
Street	2165 GOLD HILL ROAD, SUITE 4
City	FORT MILL
State	SC
ZIP	29708
Phone	803 973-0221
CertificateType	4
CertificateEffectiveDate	8/31/2023
CertificateExpirationDate	8/30/2025
FacilityType	Waiver

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