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44D0315064 CLIA NUMBER - AVE MARIA HOME

Laboratory Demographics

CLIA Number: 44D0315064

Facility Name: AVE MARIA HOME

Facility Address:
2805 CHARLES BRYAN RD
MEMPHIS, TN
ZIP 38134
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Facility Phone Number: 901 382-5817

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1831250604

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name Field Value
CLIA Number 44D0315064
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name AVE MARIA HOME
Street 2805 CHARLES BRYAN RD
City MEMPHIS
State TN
ZIP 38134
Phone 901 382-5817
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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