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08D0907908 CLIA NUMBER - CHRISTIANA CARE PRIMARY CARE AT GREENVILLE

Laboratory Demographics

CLIA Number: 08D0907908

Facility Name: CHRISTIANA CARE PRIMARY CARE AT GREENVILLE

Facility Address:
3506 KENNETT PIKE, 2ND FLOOR
WILMINGTON, DE
ZIP 19807
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Facility Phone Number: 302 661-3400

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1023439536

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 08D0907908
LAB Type Physician Office
Facility Name CHRISTIANA CARE PRIMARY CARE AT GREENVILLE
Street 3506 KENNETT PIKE, 2ND FLOOR
City WILMINGTON
State DE
ZIP 19807
Phone 302 661-3400
CertificateType 4
CertificateEffectiveDate 10/25/2023
CertificateExpirationDate 10/24/2025
FacilityType Waiver

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