13D0934334 CLIA NUMBER - LIFE CARE CENTER OF LEWISTON

Laboratory Demographics

CLIA Number: 13D0934334

Facility Name: LIFE CARE CENTER OF LEWISTON

Facility Address:
325 WARNER DRIVE
LEWISTON, ID
ZIP 83501
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Facility Phone Number: 208 798-8500

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1235182155

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	13D0934334
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	LIFE CARE CENTER OF LEWISTON
Street	325 WARNER DRIVE
City	LEWISTON
State	ID
ZIP	83501
Phone	208 798-8500
CertificateType	4
CertificateEffectiveDate	10/3/2023
CertificateExpirationDate	10/2/2025
FacilityType	Waiver

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