34D0247318 CLIA NUMBER - IREDELL MEMORIAL HOSPITAL, INC

Laboratory Demographics

CLIA Number: 34D0247318

Facility Name: IREDELL MEMORIAL HOSPITAL, INC

Facility Address:
557 BROOKDALE DRIVE
STATESVILLE, NC
ZIP 28677
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Facility Phone Number: 704 873-5661

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1760462196

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	34D0247318
LAB Type	Hospital
Facility Name	IREDELL MEMORIAL HOSPITAL, INC
Street	557 BROOKDALE DRIVE
City	STATESVILLE
State	NC
ZIP	28677
Phone	704 873-5661
CertificateType	1
CertificateEffectiveDate	2/28/2023
CertificateExpirationDate	2/27/2025
FacilityType	Accreditation

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