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15D2202885 CLIA NUMBER - RUSH MEMORIAL COVID CLINIC

Laboratory Demographics

CLIA Number: 15D2202885

Facility Name: RUSH MEMORIAL COVID CLINIC

Facility Address:
157 W FOSTER HEIGHTS RD
RUSHVILLE, IN
ZIP 46173
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Facility Phone Number: 765 932-7081

Facility Type: Other - PROVIDER OFFICE

Certificate Type: Waiver
NPI Number: 1609136159

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 15D2202885
LAB Type Other - PROVIDER OFFICE
Facility Name RUSH MEMORIAL COVID CLINIC
Street 157 W FOSTER HEIGHTS RD
City RUSHVILLE
State IN
ZIP 46173
Phone 765 932-7081
CertificateType 4
CertificateEffectiveDate 12/1/2022
CertificateExpirationDate 11/30/2024
FacilityType Waiver

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