Summary Statement of Deficiencies D0000 NO DEFICIENCIES WERE CITED. The facility was found to be in compliance with applicable Conditions of Participation in the CLIA program, and recertification is recommended. Statement of Deficiencies (X1) Provider/Supplier/CLIA Identification Number (X3) Date Survey Completed Name of Provider or Supplier Street Address, City, State -- 1 of 1 --
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