04D0679603 CLIA NUMBER - WALDRON NURSING AND REHAB

Laboratory Demographics

CLIA Number: 04D0679603

Facility Name: WALDRON NURSING AND REHAB

Facility Address:
1369 W 6TH ST
WALDRON, AR
ZIP 72958
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Facility Phone Number: 479 637-3171

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1073578720

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	04D0679603
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	WALDRON NURSING AND REHAB
Street	1369 W 6TH ST
City	WALDRON
State	AR
ZIP	72958
Phone	479 637-3171
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