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28D0455830 CLIA NUMBER - TIFFANY SQUARE

Laboratory Demographics

CLIA Number: 28D0455830

Facility Name: TIFFANY SQUARE

Facility Address:
3119 W FAIDLEY AVE
GRAND ISLAND, NE
ZIP 68803
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Facility Phone Number: (308) 384-2333

Facility Type: SKILLED NURSING/NURSING FACILITY

Certificate Type: Waiver
NPI Number: 1003924929

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 28D0455830
LAB Type SKILLED NURSING/NURSING FACILITY
Facility Name TIFFANY SQUARE
Street 3119 W FAIDLEY AVE
City GRAND ISLAND
State NE
ZIP 68803
Phone (308) 384-2333

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This page was last updated on: 5/11/2023