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09/19/2019PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION

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Step 1: Locate the facility number section on the form or document

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Who needs facility number 003075?

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Any individual or organization that is affiliated with or designated as facility number 003075 will need to use this number for identification and reference purposes

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What is facility number 003075?

Facility number 003075 is a specific identification number assigned to a facility for tracking and regulatory purposes.

Who is required to file facility number 003075?

Any organization or individual operating or managing the facility associated with number 003075 is required to file.

How to fill out facility number 003075?

To fill out facility number 003075, provide the required information as specified in the filing guidelines, including facility name, address, and operational details.

What is the purpose of facility number 003075?

The purpose of facility number 003075 is to ensure compliance with regulations and facilitate monitoring of the facility's operations.

What information must be reported on facility number 003075?

Information such as facility identification, location, type of operations, and compliance with safety and environmental regulations must be reported.

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