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06/06/2024PRINTED: 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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Facility number 013330 is a unique identification number assigned to a specific facility.
The entity or organization responsible for the operation of the facility is required to file facility number 013330.
Facility number 013330 must be filled out by providing the required information about the facility in the designated fields.
The purpose of facility number 013330 is to accurately identify and track a specific facility for regulatory or reporting purposes.
Information such as facility location, contact details, operations conducted, and any relevant permits or certifications must be reported on facility number 013330.
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