16D0858374 CLIA NUMBER - COLONIAL MANOR OF AMANA

Laboratory Demographics

CLIA Number: 16D0858374

Facility Name: COLONIAL MANOR OF AMANA

Facility Address:
3207 220TH TRAIL
AMANA, IA
ZIP 52203
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Facility Phone Number: 319 622-3131

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1134112147

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	16D0858374
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	COLONIAL MANOR OF AMANA
Street	3207 220TH TRAIL
City	AMANA
State	IA
ZIP	52203
Phone	319 622-3131
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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