05D0577163 CLIA NUMBER - ALTA CARE CENTER

Laboratory Demographics

CLIA Number: 05D0577163

Facility Name: ALTA CARE CENTER

Facility Address:
13075 BLACKBIRD STREET
GARDEN GROVE, CA
ZIP 92843
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Facility Phone Number: (714) 530-6322

Facility Type: SKILLED NURSING/NURSING FACILITY

Certificate Type: Waiver

NPI Number: 1326037847

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 05D0577163
LAB Type SKILLED NURSING/NURSING FACILITY
Facility Name ALTA CARE CENTER
Street 13075 BLACKBIRD STREET
City GARDEN GROVE
State CA
ZIP 92843
Phone (714) 530-6322

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