18D2175708 CLIA NUMBER - DEACONESS CLINIC URGENT CARE HENDERSON

Laboratory Demographics

CLIA Number: 18D2175708

Facility Name: DEACONESS CLINIC URGENT CARE HENDERSON

Facility Address:
2242 HWY 41 N
HENDERSON, KY
ZIP 42420
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Facility Phone Number: 270 844-8515

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1679118582

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	18D2175708
LAB Type	Physician Office
Facility Name	DEACONESS CLINIC URGENT CARE HENDERSON
Street	2242 HWY 41 N
City	HENDERSON
State	KY
ZIP	42420
Phone	270 844-8515
CertificateType	3
CertificateEffectiveDate	3/9/2024
CertificateExpirationDate	3/8/2026
FacilityType	PPMP

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