05D0886965 CLIA NUMBER - LAUREL WELLNESS & NURSING CENTER

Laboratory Demographics

CLIA Number: 05D0886965

Facility Name: LAUREL WELLNESS & NURSING CENTER

Facility Address:
7509 NORTH LAUREL AVENUE
FONTANA, CA
ZIP 92336
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Facility Phone Number: 909 822-8066

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1285874560

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	05D0886965
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	LAUREL WELLNESS & NURSING CENTER
Street	7509 NORTH LAUREL AVENUE
City	FONTANA
State	CA
ZIP	92336
Phone	909 822-8066
CertificateType	4
CertificateEffectiveDate	6/1/2022
CertificateExpirationDate	5/31/2024
FacilityType	Waiver

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