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11D1084700 CLIA NUMBER - MEDICINE WHEEL CLINIC WINDER INCORPORATE

Laboratory Demographics

CLIA Number: 11D1084700

Facility Name: MEDICINE WHEEL CLINIC WINDER INCORPORATE

Facility Address:
85 AUBURN PARK DRIVE
AUBURN, GA
ZIP 30011
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Facility Phone Number: 678 313-3574

Facility Type: Other

Certificate Type: Waiver
NPI Number: 1255611653

Taxonomy: 251B00000X - Case Management
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

CLIA Record

Field Name Field Value
CLIA Number 11D1084700
LAB Type Other
Facility Name MEDICINE WHEEL CLINIC WINDER INCORPORATE
Street 85 AUBURN PARK DRIVE
City AUBURN
State GA
ZIP 30011
Phone 678 313-3574
CertificateType 4
CertificateEffectiveDate 6/2/2022
CertificateExpirationDate 6/1/2024
FacilityType Waiver

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