14D0699261 CLIA NUMBER - BRIA OF ALTON LLC

Laboratory Demographics

CLIA Number: 14D0699261

Facility Name: BRIA OF ALTON LLC

Facility Address:
3523 WICKENHAUSER
ALTON, IL
ZIP 62002
Get Directions

Facility Phone Number: 618 465-8887

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1457659740

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	14D0699261
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	BRIA OF ALTON LLC
Street	3523 WICKENHAUSER
City	ALTON
State	IL
ZIP	62002
Phone	618 465-8887
CertificateType	4
CertificateEffectiveDate	3/30/2023
CertificateExpirationDate	3/29/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

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

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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