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46D1020815 CLIA NUMBER - PINE VIEW TRANSITIONAL REHAB

Laboratory Demographics

CLIA Number: 46D1020815

Facility Name: PINE VIEW TRANSITIONAL REHAB

Facility Address:
1497 E SKYLINE DR
OGDEN, UT
ZIP 84405
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Facility Phone Number: 801 698-6979

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1700822707

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 46D1020815
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PINE VIEW TRANSITIONAL REHAB
Street 1497 E SKYLINE DR
City OGDEN
State UT
ZIP 84405
Phone 801 698-6979
CertificateType 4
CertificateEffectiveDate 1/5/2024
CertificateExpirationDate 1/4/2026
FacilityType Waiver

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