11D2152578 CLIA NUMBER - CHICOS FAS,INC

Laboratory Demographics

CLIA Number: 11D2152578

Facility Name: CHICOS FAS,INC

Facility Address:
1020 BARROW INDUSTRIAL PARKWAY
WINDER, GA
ZIP 30680
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Facility Phone Number: 802 857-0400

Facility Type: Other - ONSITE HEALTH CENTER

Certificate Type: Waiver

NPI Number: 1811476286

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	11D2152578
LAB Type	Other - ONSITE HEALTH CENTER
Facility Name	CHICOS FAS,INC
Street	1020 BARROW INDUSTRIAL PARKWAY
City	WINDER
State	GA
ZIP	30680
Phone	802 857-0400
CertificateType	4
CertificateEffectiveDate	8/13/2022
CertificateExpirationDate	8/12/2024
FacilityType	Waiver

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