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10D0911212 CLIA NUMBER - CENTERWELL HEALTH SERVICES (CERTIFIED) INC

Laboratory Demographics

CLIA Number: 10D0911212

Facility Name: CENTERWELL HEALTH SERVICES (CERTIFIED) INC

Facility Address:
1013 BECK AVENUE
PANAMA CITY, FL
ZIP 32401
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Facility Phone Number: 904 769-3398

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1083648950

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 10D0911212
LAB Type Home Health Agency
Facility Name CENTERWELL HEALTH SERVICES (CERTIFIED) INC
Street 1013 BECK AVENUE
City PANAMA CITY
State FL
ZIP 32401
Phone 904 769-3398
CertificateType 4
CertificateEffectiveDate 1/30/2024
CertificateExpirationDate 1/29/2026
FacilityType Waiver

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