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10D0916217 CLIA NUMBER - CENTERWELL HEALTH SERVICES (CERTIFIED) INC

Laboratory Demographics

CLIA Number: 10D0916217

Facility Name: CENTERWELL HEALTH SERVICES (CERTIFIED) INC

Facility Address:
1737 N CLYDE MORRIS BLVD STE 110
DAYTONA BEACH, FL
ZIP 32117
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Facility Phone Number: 386 274-1088

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1114955713

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 10D0916217
LAB Type Home Health Agency
Facility Name CENTERWELL HEALTH SERVICES (CERTIFIED) INC
Street 1737 N CLYDE MORRIS BLVD STE 110
City DAYTONA BEACH
State FL
ZIP 32117
Phone 386 274-1088
CertificateType 4
CertificateEffectiveDate 6/18/2022
CertificateExpirationDate 6/17/2024
FacilityType Waiver

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