23D0696891 CLIA NUMBER - SAULT STE MARIE OPCO, LLC

Laboratory Demographics

CLIA Number: 23D0696891

Facility Name: SAULT STE MARIE OPCO, LLC

Facility Address:
1011 MERIDIAN STREET
SAULT SAINTE MARIE, MI
ZIP 49783
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Facility Phone Number: 906 635-1518

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1801313135

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	23D0696891
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	SAULT STE MARIE OPCO, LLC
Street	1011 MERIDIAN STREET
City	SAULT SAINTE MARIE
State	MI
ZIP	49783
Phone	906 635-1518
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