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15D0973710 CLIA NUMBER - COLUMBUS FIRE DEPARTMENT

Laboratory Demographics

CLIA Number: 15D0973710

Facility Name: COLUMBUS FIRE DEPARTMENT

Facility Address:
1101 JACKSON ST
COLUMBUS, IN
ZIP 47201
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Facility Phone Number: 812 376-2679

Facility Type: Ambulance

Certificate Type: Waiver
NPI Number: 1104831718

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 15D0973710
LAB Type Ambulance
Facility Name COLUMBUS FIRE DEPARTMENT
Street 1101 JACKSON ST
City COLUMBUS
State IN
ZIP 47201
Phone 812 376-2679
CertificateType 4
CertificateEffectiveDate 5/12/2024
CertificateExpirationDate 5/11/2026
FacilityType Waiver

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