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39D0911351 CLIA NUMBER - ORCHARD MANOR

Laboratory Demographics

CLIA Number: 39D0911351

Facility Name: ORCHARD MANOR

Facility Address:
20 ORCHARD DRIVE
GROVE CITY, PA
ZIP 16127
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Facility Phone Number: 724 458-7760

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1467459313

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 39D0911351
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ORCHARD MANOR
Street 20 ORCHARD DRIVE
City GROVE CITY
State PA
ZIP 16127
Phone 724 458-7760
CertificateType 4
CertificateEffectiveDate 2/1/2024
CertificateExpirationDate 1/31/2026
FacilityType Waiver

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