25D0992348 CLIA NUMBER - VAIDEN COMMUNITY LIVING CENTER

Laboratory Demographics

CLIA Number: 25D0992348

Facility Name: VAIDEN COMMUNITY LIVING CENTER

Facility Address:
868 MULBERRY STREET
VAIDEN, MS
ZIP 39176
Get Directions

Facility Phone Number: 662 464-7714

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1144210394

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	25D0992348
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	VAIDEN COMMUNITY LIVING CENTER
Street	868 MULBERRY STREET
City	VAIDEN
State	MS
ZIP	39176
Phone	662 464-7714
CertificateType	4
CertificateEffectiveDate	10/15/2023
CertificateExpirationDate	10/14/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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