30D0087581 CLIA NUMBER - WOLFEBORO BAY CENTER

Laboratory Demographics

CLIA Number: 30D0087581

Facility Name: WOLFEBORO BAY CENTER

Facility Address:
39 CLIPPER DR
WOLFEBORO, NH
ZIP 03894
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Facility Phone Number: 603 569-3950

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1376590976

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	30D0087581
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	WOLFEBORO BAY CENTER
Street	39 CLIPPER DR
City	WOLFEBORO
State	NH
ZIP	03894
Phone	603 569-3950
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