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23D1048371 CLIA NUMBER - GAYLORD OPC

Laboratory Demographics

CLIA Number: 23D1048371

Facility Name: GAYLORD OPC

Facility Address:
2782 SOUTH OTSEGO AVE
GAYLORD, MI
ZIP 49735
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Facility Phone Number: 989 732-7325

Facility Type: Community Clinic

Certificate Type: Accreditation
NPI Number: 1215453691

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 23D1048371
LAB Type Community Clinic
Facility Name GAYLORD OPC
Street 2782 SOUTH OTSEGO AVE
City GAYLORD
State MI
ZIP 49735
Phone 989 732-7325
CertificateType 1
CertificateEffectiveDate 11/30/2005
CertificateExpirationDate 5/22/2026
FacilityType Accreditation

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