11D0683650 CLIA NUMBER - WAYCROSS HEALTH & REHAB

Laboratory Demographics

CLIA Number: 11D0683650

Facility Name: WAYCROSS HEALTH & REHAB

Facility Address:
1910 DOROTHY STREET
WAYCROSS, GA
ZIP 31501
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Facility Phone Number: 912 285-4721

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1215921713

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 11D0683650
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WAYCROSS HEALTH & REHAB
Street 1910 DOROTHY STREET
City WAYCROSS
State GA
ZIP 31501
Phone 912 285-4721
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