45D0880996 CLIA NUMBER - THE MEDICAL LODGE OF AMARILLO

Laboratory Demographics

CLIA Number: 45D0880996

Facility Name: THE MEDICAL LODGE OF AMARILLO

Facility Address:
9 MEDICAL DR
AMARILLO, TX
ZIP 79106
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Facility Phone Number: 806 352-2731

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1063021020

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	45D0880996
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	THE MEDICAL LODGE OF AMARILLO
Street	9 MEDICAL DR
City	AMARILLO
State	TX
ZIP	79106
Phone	806 352-2731
CertificateType	4
CertificateEffectiveDate	1/3/2024
CertificateExpirationDate	1/2/2026
FacilityType	Waiver

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