10D0910546 CLIA NUMBER - CENTERWELL HEALTH SERVICES (CERTIFIED) INC DBA CENTERWELL HOME HEALTH

Laboratory Demographics

  • CLIA Code: 10D0910546
  • Facility Name: CENTERWELL HEALTH SERVICES (CERTIFIED) INC DBA CENTERWELL HOME HEALTH
  • Facility Address: 1709 HERMITAGE BLVD STE 102
    TALLAHASSEE, FL
    ZIP 32308
  • Facility Phone: 850 878-2191
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JENNIFER FOUTCH
  • NPI Number: 1982634101
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0910546
LAB Type Home Health Agency
Facility Name CENTERWELL HEALTH SERVICES (CERTIFIED) INC DBA CENTERWELL HOME HEALTH
Street 1709 HERMITAGE BLVD STE 102
City TALLAHASSEE
State FL
ZIP 32308
Phone 850 878-2191
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Home Health Agency
Lab Director JENNIFER FOUTCH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025