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34D2069550 CLIA NUMBER - ATRIUM HEALTH WAKE FOREST BAPTIST - CARE AT HOME

Laboratory Demographics

CLIA Number: 34D2069550

Facility Name: ATRIUM HEALTH WAKE FOREST BAPTIST - CARE AT HOME

Facility Address:
2000 FRONTIS PLAZA BOULEVARD, SUITE 303
WINSTON-SALEM, NC
ZIP 27103
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Facility Phone Number: 336 760-1838

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1861422990

Taxonomy: 251E00000X - Home Health
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

CLIA Record

Field Name Field Value
CLIA Number 34D2069550
LAB Type Home Health Agency
Facility Name ATRIUM HEALTH WAKE FOREST BAPTIST - CARE AT HOME
Street 2000 FRONTIS PLAZA BOULEVARD, SUITE 303
City WINSTON-SALEM
State NC
ZIP 27103
Phone 336 760-1838
CertificateType 4
CertificateEffectiveDate 11/26/2023
CertificateExpirationDate 11/25/2025
FacilityType Waiver

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