01D1091804 CLIA NUMBER - CENTERWELL HOME HEALTH

Laboratory Demographics

CLIA Number: 01D1091804

Facility Name: CENTERWELL HOME HEALTH

Facility Address:
1015 1ST AVE SW SUITE A
CULLMAN, AL
ZIP 35055
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Facility Phone Number: 256 739-2992

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1285885285

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 01D1091804
LAB Type Home Health Agency
Facility Name CENTERWELL HOME HEALTH
Street 1015 1ST AVE SW SUITE A
City CULLMAN
State AL
ZIP 35055
Phone 256 739-2992
CertificateType 4
CertificateEffectiveDate 11/10/2022
CertificateExpirationDate 11/9/2024
FacilityType Waiver

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