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03D0932028 CLIA NUMBER - CENTERWELL CERTIFIED HEALTHCARE CORP, DBA CENTERWELL HOME HEALTH

Laboratory Demographics

CLIA Number: 03D0932028

Facility Name: CENTERWELL CERTIFIED HEALTHCARE CORP, DBA CENTERWELL HOME HEALTH

Facility Address:
16620 N 40TH ST, STE D4
PHOENIX, AZ
ZIP 85032
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Facility Phone Number: 623 979-7471

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1437185139

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 03D0932028
LAB Type Home Health Agency
Facility Name CENTERWELL CERTIFIED HEALTHCARE CORP, DBA CENTERWELL HOME HEALTH
Street 16620 N 40TH ST, STE D4
City PHOENIX
State AZ
ZIP 85032
Phone 623 979-7471
CertificateType 4
CertificateEffectiveDate 3/26/2024
CertificateExpirationDate 3/25/2026
FacilityType Waiver

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