02D1002123 CLIA NUMBER - AVANTE MEDICAL CENTER

Laboratory Demographics

CLIA Number: 02D1002123

Facility Name: AVANTE MEDICAL CENTER

Facility Address:
915 WEST NORTHERN LIGHTS BLVD
ANCHORAGE, AK
ZIP 99503
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Facility Phone Number: 907 770-6700

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1891924163

Taxonomy: 363L00000X - Nurse Practitioner
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

CLIA Record

Field Name	Field Value
CLIA Number	02D1002123
LAB Type	Physician Office
Facility Name	AVANTE MEDICAL CENTER
Street	915 WEST NORTHERN LIGHTS BLVD
City	ANCHORAGE
State	AK
ZIP	99503
Phone	907 770-6700
CertificateType	2
CertificateEffectiveDate	2/7/2023
CertificateExpirationDate	2/6/2025
FacilityType	Compliance

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