11D2321726 CLIA NUMBER - NURSE WIN, LLC DBA TEAM SELECT HOME CARE

Laboratory Demographics

  • CLIA Code: 11D2321726
  • Facility Name: NURSE WIN, LLC DBA TEAM SELECT HOME CARE
  • Facility Address: 12461 VETERANS MEMORIAL HIGHWAY, SUITE 590
    DOUGLASVILLE, GA
    ZIP 30134
  • Facility Phone: 678 562-0086
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DEBORAH WALTON
  • NPI Number: 1275213506
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 11D2321726
LAB Type Home Health Agency
Facility Name NURSE WIN, LLC DBA TEAM SELECT HOME CARE
Street 12461 VETERANS MEMORIAL HIGHWAY, SUITE 590
City DOUGLASVILLE
State GA
ZIP 30134
Phone 678 562-0086
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Home Health Agency
Lab Director DEBORAH WALTON

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