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49D0711204 CLIA NUMBER - CENTERWELLCERTIFIED HEALTHCARE CORP DBA CENTERWELL HOME HEALTH

Laboratory Demographics

CLIA Number: 49D0711204

Facility Name: CENTERWELLCERTIFIED HEALTHCARE CORP DBA CENTERWELL HOME HEALTH

Facility Address:
5238 VALLEYPOINTE PARKWAY, SUITE 1B
ROANOKE, VA
ZIP 24019
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Facility Phone Number: 540 362-7578

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1124059688

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 49D0711204
LAB Type Home Health Agency
Facility Name CENTERWELLCERTIFIED HEALTHCARE CORP DBA CENTERWELL HOME HEALTH
Street 5238 VALLEYPOINTE PARKWAY, SUITE 1B
City ROANOKE
State VA
ZIP 24019
Phone 540 362-7578
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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