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14D2121091 CLIA NUMBER - LUTHER OAKS

Laboratory Demographics

CLIA Number: 14D2121091

Facility Name: LUTHER OAKS

Facility Address:
601 LUTZ RD
BLOOMINGTON, IL
ZIP 61704
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Facility Phone Number: 309 557-8000

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1639520034

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 14D2121091
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LUTHER OAKS
Street 601 LUTZ RD
City BLOOMINGTON
State IL
ZIP 61704
Phone 309 557-8000
CertificateType 4
CertificateEffectiveDate 10/31/2022
CertificateExpirationDate 10/30/2024
FacilityType Waiver

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