34D2304805 CLIA NUMBER - WELL CARE HOME CARE DBA AVID HEALTH AT HOME, NC

Laboratory Demographics

  • CLIA Code: 34D2304805
  • Facility Name: WELL CARE HOME CARE DBA AVID HEALTH AT HOME, NC
  • Facility Address: 1508 MILITARY CUTOFF ROAD SUITE 304
    WILMINGTON, NC
    ZIP 28403
  • Facility Phone: 910 343-9996
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TAMMY TENTON
  • NPI Number: 1679081996
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 34D2304805
LAB Type Home Health Agency
Facility Name WELL CARE HOME CARE DBA AVID HEALTH AT HOME, NC
Street 1508 MILITARY CUTOFF ROAD SUITE 304
City WILMINGTON
State NC
ZIP 28403
Phone 910 343-9996
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Home Health Agency
Lab Director TAMMY TENTON

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