01D0882247 CLIA NUMBER - LAFAYETTE EXTENDED CARE

Laboratory Demographics

CLIA Number: 01D0882247

Facility Name: LAFAYETTE EXTENDED CARE

Facility Address:
805 HOSPITAL STREET
LAFAYETTE, AL
ZIP 36862
Get Directions

Facility Phone Number: 334 864-8854

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1205878097

Taxonomy: 314000000X - Skilled Nursing Facility
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

CLIA Record

Field Name	Field Value
CLIA Number	01D0882247
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	LAFAYETTE EXTENDED CARE
Street	805 HOSPITAL STREET
City	LAFAYETTE
State	AL
ZIP	36862
Phone	334 864-8854
CertificateType	4
CertificateEffectiveDate	1/31/2024
CertificateExpirationDate	1/30/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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