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10D0962987 CLIA NUMBER - LUTHERAN HAVEN ASSISTED LIVING

Laboratory Demographics

CLIA Number: 10D0962987

Facility Name: LUTHERAN HAVEN ASSISTED LIVING

Facility Address:
1525 HAVEN DR
OVIEDO, FL
ZIP 32765
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Facility Phone Number: 407 365-3456

Facility Type: Other

Certificate Type: Waiver
NPI Number: 1326044322

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 10D0962987
LAB Type Other
Facility Name LUTHERAN HAVEN ASSISTED LIVING
Street 1525 HAVEN DR
City OVIEDO
State FL
ZIP 32765
Phone 407 365-3456
CertificateType 4
CertificateEffectiveDate 7/19/2023
CertificateExpirationDate 7/18/2025
FacilityType Waiver

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