Healther Providers Data Logo

36D2075975 CLIA NUMBER - LEGACY DUBLIN OPERATING COMPANY, LLC DBA LEGACY DUBLIN

Laboratory Demographics

CLIA Number: 36D2075975

Facility Name: LEGACY DUBLIN OPERATING COMPANY, LLC DBA LEGACY DUBLIN

Facility Address:
4075 W DUBLIN-GRANVILLE RD
DUBLIN, OH
ZIP 43017
Get Directions

Facility Phone Number: 216 898-8399

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1992409023

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 36D2075975
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LEGACY DUBLIN OPERATING COMPANY, LLC DBA LEGACY DUBLIN
Street 4075 W DUBLIN-GRANVILLE RD
City DUBLIN
State OH
ZIP 43017
Phone 216 898-8399
CertificateType 4
CertificateEffectiveDate 4/9/2024
CertificateExpirationDate 4/8/2026
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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