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01D0903754 CLIA NUMBER - AMEDISYS HOME HEALTH OF CITRONELLE AMEDISYS HOME HEALTH OF ALABAMA, LLC

Laboratory Demographics

CLIA Number: 01D0903754

Facility Name: AMEDISYS HOME HEALTH OF CITRONELLE AMEDISYS HOME HEALTH OF ALABAMA, LLC

Facility Address:
19375 N 3RD STREET, SUITE101
CITRONELLE, AL
ZIP 36522
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Facility Phone Number: 251 866-3261

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1790743961

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 01D0903754
LAB Type Home Health Agency
Facility Name AMEDISYS HOME HEALTH OF CITRONELLE AMEDISYS HOME HEALTH OF ALABAMA, LLC
Street 19375 N 3RD STREET, SUITE101
City CITRONELLE
State AL
ZIP 36522
Phone 251 866-3261
CertificateType 4
CertificateEffectiveDate 7/28/2023
CertificateExpirationDate 7/27/2025
FacilityType Waiver

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