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05D2140737 CLIA NUMBER - UNIVERSITY PARK HEALTHCARE CENTER

Laboratory Demographics

CLIA Number: 05D2140737

Facility Name: UNIVERSITY PARK HEALTHCARE CENTER

Facility Address:
230 E ADAMS BLVD
LOS ANGELES, CA
ZIP 90011
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Facility Phone Number: 213 748-0491

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1215922570

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 05D2140737
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name UNIVERSITY PARK HEALTHCARE CENTER
Street 230 E ADAMS BLVD
City LOS ANGELES
State CA
ZIP 90011
Phone 213 748-0491
CertificateType 4
CertificateEffectiveDate 2/7/2024
CertificateExpirationDate 2/6/2026
FacilityType Waiver

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