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34D0973408 CLIA NUMBER - CROASDAILE VILLAGE

Laboratory Demographics

CLIA Number: 34D0973408

Facility Name: CROASDAILE VILLAGE

Facility Address:
2600 CROASDAILE FARM PKWY
DURHAM, NC
ZIP 27705
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Facility Phone Number: 919 384-2000

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1972587376

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 34D0973408
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CROASDAILE VILLAGE
Street 2600 CROASDAILE FARM PKWY
City DURHAM
State NC
ZIP 27705
Phone 919 384-2000
CertificateType 4
CertificateEffectiveDate 5/4/2024
CertificateExpirationDate 5/3/2026
FacilityType Waiver

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