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05D2089219 CLIA NUMBER - WHITE OAK CONGREGATE LIVING FACILITY

Laboratory Demographics

CLIA Number: 05D2089219

Facility Name: WHITE OAK CONGREGATE LIVING FACILITY

Facility Address:
9301 WHITEOAK AVE
NORTHRIDGE, CA
ZIP 91325
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Facility Phone Number: 818 885-1135

Facility Type: Other - CONGREGATE LIVING HLTH

Certificate Type: Waiver
NPI Number: 1841662038

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 05D2089219
LAB Type Other - CONGREGATE LIVING HLTH
Facility Name WHITE OAK CONGREGATE LIVING FACILITY
Street 9301 WHITEOAK AVE
City NORTHRIDGE
State CA
ZIP 91325
Phone 818 885-1135
CertificateType 4
CertificateEffectiveDate 12/22/2022
CertificateExpirationDate 12/21/2024
FacilityType Waiver

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