18D0664729 CLIA NUMBER - CENTERWELL CERTIFIED HEALTHCARE CORP DBA CENTERWELL HOME HEALTH

Laboratory Demographics

  • CLIA Code: 18D0664729
  • Facility Name: CENTERWELL CERTIFIED HEALTHCARE CORP DBA CENTERWELL HOME HEALTH
  • Facility Address: 710 EXECUTIVE PARK
    LOUISVILLE, KY
    ZIP 40207
  • Facility Phone: 502 895-4213
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MS. ANGELA M. WILLIAMS
  • NPI Number: 1558394254
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 18D0664729
LAB Type Home Health Agency
Facility Name CENTERWELL CERTIFIED HEALTHCARE CORP DBA CENTERWELL HOME HEALTH
Street 710 EXECUTIVE PARK
City LOUISVILLE
State KY
ZIP 40207
Phone 502 895-4213
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2024
Certificate Expiration Date 5/23/2026
Facility Type Home Health Agency
Lab Director MS. ANGELA M. WILLIAMS

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This page was last updated on: 6/4/2025