01D0679356 CLIA NUMBER - Intrepid Usa Healthcare Services

Laboratory Demographics

CLIA Number: 01D0679356

Facility Name: Intrepid Usa Healthcare Services

Facility Address:
200 Century Park South Suite 116,
Birmingham, AL
ZIP 35226
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Facility Phone Number: (205) 978-9592

Facility Type: HOME HEALTH AGENCY

Certificate Type: Waiver

NPI Number: 1629051735

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 01D0679356
LAB Type HOME HEALTH AGENCY
Facility Name Intrepid Usa Healthcare Services
Street 200 Century Park South Suite 116,
City Birmingham
State AL
ZIP 35226
Phone 2059789592

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This page was last updated on: 5/19/2019