11D0259021 CLIA NUMBER - HEALTHFIELD HOME HEALTH, LLC DBA CENTERWELL HOME HEALTH

Laboratory Demographics

  • CLIA Code: 11D0259021
  • Facility Name: HEALTHFIELD HOME HEALTH, LLC DBA CENTERWELL HOME HEALTH
  • Facility Address: 114 TOWNPARK DRIVE NW SUITE 550
    KENNESAW, GA
    ZIP 30144
  • Facility Phone: 770 951-6100
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MELISSA MADDOX
  • NPI Number: 1821024472
  • Taxonomy: 332B00000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 11D0259021
LAB Type Home Health Agency
Facility Name HEALTHFIELD HOME HEALTH, LLC DBA CENTERWELL HOME HEALTH
Street 114 TOWNPARK DRIVE NW SUITE 550
City KENNESAW
State GA
ZIP 30144
Phone 770 951-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Home Health Agency
Lab Director MELISSA MADDOX

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This page was last updated on: 9/29/2025