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14D2101864 CLIA NUMBER - PRESENCE MERCY MED CTR - COMMTY HEALTH

Laboratory Demographics

CLIA Number: 14D2101864

Facility Name: PRESENCE MERCY MED CTR - COMMTY HEALTH

Facility Address:
1975 MELISSA LN
AURORA, IL
ZIP 60506
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Facility Phone Number: 630 897-4000

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1205822335

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 14D2101864
LAB Type Physician Office
Facility Name PRESENCE MERCY MED CTR - COMMTY HEALTH
Street 1975 MELISSA LN
City AURORA
State IL
ZIP 60506
Phone 630 897-4000
CertificateType 4
CertificateEffectiveDate 9/11/2023
CertificateExpirationDate 9/10/2025
FacilityType Waiver

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