34D1003796 CLIA NUMBER - CAPITAL CARERESOURCES LLC DBA CENTERWELL HOME HEALTH

Laboratory Demographics

  • CLIA Code: 34D1003796
  • Facility Name: CAPITAL CARERESOURCES LLC DBA CENTERWELL HOME HEALTH
  • Facility Address: 2000 FRONTIS PLAZA BOULEVARD, SUITE 100 - B
    WINSTON-SALEM, NC
    ZIP 27103
  • Facility Phone: 336 564-0185
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SUSAN L. WILSON
  • NPI Number: 1497785133
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 34D1003796
LAB Type Home Health Agency
Facility Name CAPITAL CARERESOURCES LLC DBA CENTERWELL HOME HEALTH
Street 2000 FRONTIS PLAZA BOULEVARD, SUITE 100 - B
City WINSTON-SALEM
State NC
ZIP 27103
Phone 336 564-0185
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Home Health Agency
Lab Director SUSAN L. WILSON

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