10D2258359 CLIA NUMBER - COVENANT LIVING OF FLORIDA INC

Laboratory Demographics

CLIA Number: 10D2258359

Facility Name: COVENANT LIVING OF FLORIDA INC

Facility Address:
9211 WEST BROWARD BLVD, 2ND FLOOR
PLANTATION, FL
ZIP 33324
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Facility Phone Number: 354 916-6479

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1083719751

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	10D2258359
LAB Type	Assisted Living Facility
Facility Name	COVENANT LIVING OF FLORIDA INC
Street	9211 WEST BROWARD BLVD, 2ND FLOOR
City	PLANTATION
State	FL
ZIP	33324
Phone	354 916-6479
CertificateType	4
CertificateEffectiveDate	4/20/2024
CertificateExpirationDate	4/19/2026
FacilityType	Waiver

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