01D0711327 CLIA NUMBER - DBA CENTERWELL HOME HEALTH CENTERWWLL CERTIFIED HEALTHCARE CORP

Laboratory Demographics

  • Code: 01D0711327
  • Facility Name: DBA CENTERWELL HOME HEALTH CENTERWWLL CERTIFIED HEALTHCARE CORP
  • Facility Address: 2100 SOUTHBRIDGE PKWY SUITE 480
    BIRMINGHAM, AL
    ZIP 35209
  • Facility Phone: 205 426-6671
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • NPI Number: 1477582393
  • Taxonomy: 251E00000X - Home Health
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CLIA Record

Field Name Field Value
CLIA Number 01D0711327
LAB Type Home Health Agency
Facility Name DBA CENTERWELL HOME HEALTH CENTERWWLL CERTIFIED HEALTHCARE CORP
Street 2100 SOUTHBRIDGE PKWY SUITE 480
City BIRMINGHAM
State AL
ZIP 35209
Phone 205 426-6671
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