42D2294516 CLIA NUMBER - RESILIENCE FAMILY HEALTHCARE & IV LOUNGE

Laboratory Demographics

CLIA Number: 42D2294516

Facility Name: RESILIENCE FAMILY HEALTHCARE & IV LOUNGE

Facility Address:
302B MONTAGUE AVE
GREENWOOD, SC
ZIP 29646
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Facility Phone Number: 864 323-9373

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1518531573

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	42D2294516
LAB Type	Physician Office
Facility Name	RESILIENCE FAMILY HEALTHCARE & IV LOUNGE
Street	302B MONTAGUE AVE
City	GREENWOOD
State	SC
ZIP	29646
Phone	864 323-9373
CertificateType	4
CertificateEffectiveDate	11/28/2023
CertificateExpirationDate	11/27/2025
FacilityType	Waiver

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