10D0712680 CLIA NUMBER - AVALON HEALTHCARE CENTER

Laboratory Demographics

CLIA Number: 10D0712680

Facility Name: AVALON HEALTHCARE CENTER

Facility Address:
1270 SW MAIN BLVD
LAKE CITY, FL
ZIP 32025
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Facility Phone Number: 386 752-7900

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1750365706

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	10D0712680
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	AVALON HEALTHCARE CENTER
Street	1270 SW MAIN BLVD
City	LAKE CITY
State	FL
ZIP	32025
Phone	386 752-7900
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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