Patient ID:
LC718424
Name:
CAI LI
Status:
Active
Total Certifications:
2
Patient Certifications (2 total)
Certification Type Start Date End Date Status Document Created Actions
[G0179] - 485 Recertification
N/A 08/30/2025 10/28/2025 Active
Document Available
cc4961b6-abc6-4...
09/23/2025
[G0180] - 485 Certification
SOC: 11/20/2024
N/A 01/19/2025 03/19/2025 Active
Document Available
c08834a7-0818-4...
07/03/2025