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

Laboratory Demographics

CLIA Number: 01D0711327

Facility Name: DBA CENTERWELL HOME HEALTH CENTERWWLL CERTIFIED HEALTHCARE CORP

Facility Address:
2100 SOUTHBRIDGE PKWY SUITE 480
BIRMINGHAM, AL
ZIP 35209
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Facility Phone Number: 205 426-6671

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1477582393

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 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
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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