50D0722654 CLIA NUMBER - COTTESMORE OF LIFE CARE

Laboratory Demographics

CLIA Number: 50D0722654

Facility Name: COTTESMORE OF LIFE CARE

Facility Address:
2909 14TH AVE NW
GIG HARBOR, WA
ZIP 98335
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Facility Phone Number: 253 851-5433

Facility Type: Skilled Nursing Facility/Nursing Facility

Certificate Type: Waiver

NPI Number: 1992759120

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	50D0722654
LAB Type	Skilled Nursing Facility/Nursing Facility
Facility Name	COTTESMORE OF LIFE CARE
Street	2909 14TH AVE NW
City	GIG HARBOR
State	WA
ZIP	98335
Phone	253 851-5433
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