34D2129163 CLIA NUMBER - KAH DEVELOPMENT 12, LLC DBA CENTERWELL HOME HEALTH

Laboratory Demographics

  • CLIA Code: 34D2129163
  • Facility Name: KAH DEVELOPMENT 12, LLC DBA CENTERWELL HOME HEALTH
  • Facility Address: 87 W CORNELIUS HARNETT BOULEVARD
    LILLINGTON, NC
    ZIP 27546
  • Facility Phone: 910 808-4556
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LAURA M. HARDISON
  • NPI Number: 1689119349
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 34D2129163
LAB Type Home Health Agency
Facility Name KAH DEVELOPMENT 12, LLC DBA CENTERWELL HOME HEALTH
Street 87 W CORNELIUS HARNETT BOULEVARD
City LILLINGTON
State NC
ZIP 27546
Phone 910 808-4556
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Home Health Agency
Lab Director LAURA M. HARDISON

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