05D0588480 CLIA NUMBER - DYCORA TRANSITIONAL HEALTH

Laboratory Demographics

CLIA Number: 05D0588480

Facility Name: DYCORA TRANSITIONAL HEALTH

Facility Address:
1306 E SUMNER AVE
FOWLER, CA
ZIP 93625
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Facility Phone Number: (559) 834-2542

Facility Type: SKILLED NURSING/NURSING FACILITY

Certificate Type: Waiver

NPI Number: 1861944068

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	05D0588480
LAB Type	SKILLED NURSING/NURSING FACILITY
Facility Name	DYCORA TRANSITIONAL HEALTH
Street	1306 E SUMNER AVE
City	FOWLER
State	CA
ZIP	93625
Phone	(559) 834-2542

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This page was last updated on: 5/11/2023