24D0405217 CLIA NUMBER - MAPLE LAWN NURSING HOME

Laboratory Demographics

CLIA Number: 24D0405217

Facility Name: MAPLE LAWN NURSING HOME

Facility Address:
400 7TH ST NE
FULDA, MN
ZIP 56131
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Facility Phone Number: 507 425-2571

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1568458271

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 24D0405217
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAPLE LAWN NURSING HOME
Street 400 7TH ST NE
City FULDA
State MN
ZIP 56131
Phone 507 425-2571
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