Healther Providers Data Logo

11D0949266 CLIA NUMBER - LIFE CARE CENTER OF LAWRENCEVILLE

Laboratory Demographics

CLIA Number: 11D0949266

Facility Name: LIFE CARE CENTER OF LAWRENCEVILLE

Facility Address:
210 COLLINS INDUSTRIAL WAY
LAWRENCEVILLE, GA
ZIP 30045
Get Directions

Facility Phone Number: 678 442-0777

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1356374011

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 11D0949266
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIFE CARE CENTER OF LAWRENCEVILLE
Street 210 COLLINS INDUSTRIAL WAY
City LAWRENCEVILLE
State GA
ZIP 30045
Phone 678 442-0777
CertificateType 4
CertificateEffectiveDate 7/30/2022
CertificateExpirationDate 7/29/2024
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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