45D1087344 CLIA NUMBER - GBA WEST, LLC DBA CENTERWELL HOME HEALTH

Laboratory Demographics

  • CLIA Code: 45D1087344
  • Facility Name: GBA WEST, LLC DBA CENTERWELL HOME HEALTH
  • Facility Address: 271 WALNUT STREET
    COLORADO CITY, TX
    ZIP 79512
  • Facility Phone: 325 728-2657
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JENNIFER G. CAMP
  • NPI Number: 1750545323
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 45D1087344
LAB Type Home Health Agency
Facility Name GBA WEST, LLC DBA CENTERWELL HOME HEALTH
Street 271 WALNUT STREET
City COLORADO CITY
State TX
ZIP 79512
Phone 325 728-2657
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Home Health Agency
Lab Director JENNIFER G. CAMP

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