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PRINTED: 10/03/2024 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION
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Locate the section of the form that requires the facility number.
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Individuals or organizations that are required to provide facility identification for regulatory compliance.
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Facility number 000436 refers to a specific facility or establishment that is identified by this unique number for regulatory or reporting purposes, often related to environmental, safety, or operational compliance.
Entities that operate or manage the facility associated with number 000436 are required to file, which may include owners, operators, or designated representatives responsible for compliance with regulations related to the facility.
Filling out facility number 000436 typically requires providing specific facility information, including name, address, operational details, and compliance data as per the guidelines set forth by the governing body.
The purpose of facility number 000436 is to track and regulate the operations of the facility for compliance with safety, environmental, or industry standards and requirements.
Required information generally includes the facility's name, address, operational activities, compliance history, and any relevant data concerning environmental or safety issues.
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