26D0880320 CLIA NUMBER - WILLARD CARE CENTER

Laboratory Demographics

CLIA Number: 26D0880320

Facility Name: WILLARD CARE CENTER

Facility Address:
400 WALNUT LANE
WILLARD, MO
ZIP 65781
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Facility Phone Number: 417 742-3593

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1396785614

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 26D0880320
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WILLARD CARE CENTER
Street 400 WALNUT LANE
City WILLARD
State MO
ZIP 65781
Phone 417 742-3593
CertificateType 4
CertificateEffectiveDate 12/10/2023
CertificateExpirationDate 12/9/2025
FacilityType Waiver

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