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39D0657300 CLIA NUMBER - STONEBRIDGE HEALTH D0657300

Laboratory Demographics

CLIA Number: 39D0657300

Facility Name: STONEBRIDGE HEALTH D0657300

Facility Address:
102 CHANDRA DRIVE
DUNCANNON, PA
ZIP 17020
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Facility Phone Number: 717 834-4111

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1194225409

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 39D0657300
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name STONEBRIDGE HEALTH D0657300
Street 102 CHANDRA DRIVE
City DUNCANNON
State PA
ZIP 17020
Phone 717 834-4111
CertificateType 4
CertificateEffectiveDate 8/17/2022
CertificateExpirationDate 8/16/2024
FacilityType Waiver

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