50D0713993 CLIA NUMBER - PACIFIC CARE AND REHABILITATION

Laboratory Demographics

CLIA Number: 50D0713993

Facility Name: PACIFIC CARE AND REHABILITATION

Facility Address:
3035 CHERRY ST
HOQUIAM, WA
ZIP 98550
Get Directions

Facility Phone Number: 360 532-7882

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1902892615

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	50D0713993
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	PACIFIC CARE AND REHABILITATION
Street	3035 CHERRY ST
City	HOQUIAM
State	WA
ZIP	98550
Phone	360 532-7882
CertificateType	4
CertificateEffectiveDate	9/1/1992
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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