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21D0882838 CLIA NUMBER - PREMISE HEALTH OF MARYLAND MEDICAL P C

Laboratory Demographics

CLIA Number: 21D0882838

Facility Name: PREMISE HEALTH OF MARYLAND MEDICAL P C

Facility Address:
7407 WILLOW ROAD
FREDERICK, MD
ZIP 21702
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Facility Phone Number: 301 644-5600

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1184620395

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 21D0882838
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PREMISE HEALTH OF MARYLAND MEDICAL P C
Street 7407 WILLOW ROAD
City FREDERICK
State MD
ZIP 21702
Phone 301 644-5600
CertificateType 4
CertificateEffectiveDate 2/19/2024
CertificateExpirationDate 2/18/2026
FacilityType Waiver

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