05D0572826 CLIA NUMBER - AG RANCHO MIRAGE

Laboratory Demographics

CLIA Number: 05D0572826

Facility Name: AG RANCHO MIRAGE

Facility Address:
39950 VISTA DEL SOL
RANCHO MIRAGE, CA
ZIP 92270
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Facility Phone Number: (760) 340-0053

Facility Type: SKILLED NURSING/NURSING FACILITY

Certificate Type: Waiver

NPI Number: 1164416657

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 05D0572826
LAB Type SKILLED NURSING/NURSING FACILITY
Facility Name AG RANCHO MIRAGE
Street 39950 VISTA DEL SOL
City RANCHO MIRAGE
State CA
ZIP 92270
Phone (760) 340-0053

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This page was last updated on: 1/7/2022