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49D0861010 CLIA NUMBER - KINGS GRANT RETIREMENT COMMUNITY

Laboratory Demographics

CLIA Number: 49D0861010

Facility Name: KINGS GRANT RETIREMENT COMMUNITY

Facility Address:
350 KINGS WAY ROAD
MARTINSVILLE, VA
ZIP 24112
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Facility Phone Number: 540 634-1134

Facility Type: Other

Certificate Type: Waiver
NPI Number: 1366431652

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 49D0861010
LAB Type Other
Facility Name KINGS GRANT RETIREMENT COMMUNITY
Street 350 KINGS WAY ROAD
City MARTINSVILLE
State VA
ZIP 24112
Phone 540 634-1134
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