01D0305575 CLIA NUMBER - DBA CENTERWELL HOME HEALTH CENTERWELL CERTIFIED HEALTHCARE CORP

Laboratory Demographics

  • Code: 01D0305575
  • Facility Name: DBA CENTERWELL HOME HEALTH CENTERWELL CERTIFIED HEALTHCARE CORP
  • Facility Address: 150 W SECTION AVE, SUITE 100
    FOLEY, AL
    ZIP 36535
  • Facility Phone: 251 943-3002
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • NPI Number: 1306875059
  • Taxonomy: 251E00000X - Home Health
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CLIA Record

Field Name Field Value
CLIA Number 01D0305575
LAB Type Home Health Agency
Facility Name DBA CENTERWELL HOME HEALTH CENTERWELL CERTIFIED HEALTHCARE CORP
Street 150 W SECTION AVE, SUITE 100
City FOLEY
State AL
ZIP 36535
Phone 251 943-3002
Certificate Type 4
Certificate Effective Date 9/1/2022
Certificate Expiration Date 8/31/2024
Facility Type Waiver

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This page was last updated on: 4/23/2024