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PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION NUMBER:15577403/17/2017FORM
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Locate the form or application that requires the facility number.
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Find the section where the facility number should be entered.
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Who needs facility number 012036?

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Individuals or organizations seeking to use or access services provided by the facility associated with number 012036.
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Regulatory bodies that require identification of the specific facility for compliance and monitoring.
03
Employees or staff working at the facility for internal documentation purposes.
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Facility number 012036 refers to a specific identification number assigned to a facility for regulatory or compliance purposes.
Entities that operate or own the facility corresponding to number 012036 are required to file associated reports or documentation.
To fill out facility number 012036, refer to the specific guidelines provided by the governing body or regulatory authority, ensuring that all required information is accurately entered.
The purpose of facility number 012036 is to uniquely identify the facility for tracking, reporting, and regulatory compliance.
The information that must be reported includes facility details such as location, ownership, operational data, and compliance status.
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