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15D0362110 CLIA NUMBER - CLOVERLEAF OF KNIGHTSVILLE

Laboratory Demographics

CLIA Number: 15D0362110

Facility Name: CLOVERLEAF OF KNIGHTSVILLE

Facility Address:
9325 N CRAWFORD ST
KNIGHTSVILLE, IN
ZIP 47857
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Facility Phone Number: 812 446-2309

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1659454148

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 15D0362110
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CLOVERLEAF OF KNIGHTSVILLE
Street 9325 N CRAWFORD ST
City KNIGHTSVILLE
State IN
ZIP 47857
Phone 812 446-2309
CertificateType 4
CertificateEffectiveDate 6/29/2023
CertificateExpirationDate 6/28/2025
FacilityType Waiver

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