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50D0635361 CLIA NUMBER - LIFE CARE CENTER OF PORT TOWNSEND

Laboratory Demographics

CLIA Number: 50D0635361

Facility Name: LIFE CARE CENTER OF PORT TOWNSEND

Facility Address:
751 KEARNEY ST
PORT TOWNSEND, WA
ZIP 98368
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Facility Phone Number: 360 385-3555

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver
NPI Number: 1316991540

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 50D0635361
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIFE CARE CENTER OF PORT TOWNSEND
Street 751 KEARNEY ST
City PORT TOWNSEND
State WA
ZIP 98368
Phone 360 385-3555
CertificateType 4
CertificateEffectiveDate 9/1/1992
CertificateExpirationDate 4/4/2028
FacilityType Waiver

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