23D0709874 CLIA NUMBER - FAIRLANE NURSING CENTRE

Laboratory Demographics

CLIA Number: 23D0709874

Facility Name: FAIRLANE NURSING CENTRE

Facility Address:
15750 JOY ROAD
DETROIT, MI
ZIP 48228
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Facility Phone Number: 313 273-6850

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1750431276

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	23D0709874
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	FAIRLANE NURSING CENTRE
Street	15750 JOY ROAD
City	DETROIT
State	MI
ZIP	48228
Phone	313 273-6850
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