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36D2208582 CLIA NUMBER - LISBON SKILLED NURSING AND RESIDENTIAL CARE

Laboratory Demographics

CLIA Number: 36D2208582

Facility Name: LISBON SKILLED NURSING AND RESIDENTIAL CARE

Facility Address:
100 VISTA DRIVE
LISBON, OH
ZIP 44432
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Facility Phone Number: 330 424-5852

Facility Type: Assisted Living Facility

Certificate Type: Waiver
NPI Number: 1366816928

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 36D2208582
LAB Type Assisted Living Facility
Facility Name LISBON SKILLED NURSING AND RESIDENTIAL CARE
Street 100 VISTA DRIVE
City LISBON
State OH
ZIP 44432
Phone 330 424-5852
CertificateType 4
CertificateEffectiveDate 1/7/2023
CertificateExpirationDate 1/6/2025
FacilityType Waiver

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