34D1106854 CLIA NUMBER - UNIVERSAL HEALTH CARE/BRUNSWICK

Laboratory Demographics

CLIA Number: 34D1106854

Facility Name: UNIVERSAL HEALTH CARE/BRUNSWICK

Facility Address:
1070 OLD OCEAN HIGHWAY
BOLIVIA, NC
ZIP 28422
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Facility Phone Number: 910 755-5955

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1437484672

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	34D1106854
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	UNIVERSAL HEALTH CARE/BRUNSWICK
Street	1070 OLD OCEAN HIGHWAY
City	BOLIVIA
State	NC
ZIP	28422
Phone	910 755-5955
CertificateType	4
CertificateEffectiveDate	10/23/2023
CertificateExpirationDate	10/22/2025
FacilityType	Waiver

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