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18D1053548 CLIA NUMBER - GLEN RIDGE HEALTH CAMPUS

Laboratory Demographics

CLIA Number: 18D1053548

Facility Name: GLEN RIDGE HEALTH CAMPUS

Facility Address:
6415 CALM RIVER WAY
LOUISVILLE, KY
ZIP 40299
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Facility Phone Number: 502 297-8590

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1255547634

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 18D1053548
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GLEN RIDGE HEALTH CAMPUS
Street 6415 CALM RIVER WAY
City LOUISVILLE
State KY
ZIP 40299
Phone 502 297-8590
CertificateType 4
CertificateEffectiveDate 4/27/2024
CertificateExpirationDate 4/26/2026
FacilityType Waiver

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