01D0304171 CLIA NUMBER - DBA CENTERWELL HOME HEALTH

Laboratory Demographics

CLIA Number: 01D0304171

Facility Name: DBA CENTERWELL HOME HEALTH

Facility Address:
11123 CHANTILLY PARKWAY UNIT L
PIKE ROAD, AL
ZIP 36064
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Facility Phone Number: (334) 270-1151

Facility Type: HOME HEALTH AGENCY

Certificate Type: Waiver

NPI Number: 1013946722

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name	Field Value
CLIA Number	01D0304171
LAB Type	HOME HEALTH AGENCY
Facility Name	DBA CENTERWELL HOME HEALTH
Street	11123 CHANTILLY PARKWAY UNIT L
City	PIKE ROAD
State	AL
ZIP	36064
Phone	(334) 270-1151

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This page was last updated on: 5/11/2023