18D2189066 CLIA NUMBER - CONGRUENCE IN CARE

Laboratory Demographics

CLIA Number: 18D2189066

Facility Name: CONGRUENCE IN CARE

Facility Address:
23 EURY LANE
SOMERSET, KY
ZIP 42501
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Facility Phone Number: 800 401-8213

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952875924

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	18D2189066
LAB Type	Physician Office
Facility Name	CONGRUENCE IN CARE
Street	23 EURY LANE
City	SOMERSET
State	KY
ZIP	42501
Phone	800 401-8213
CertificateType	4
CertificateEffectiveDate	7/27/2022
CertificateExpirationDate	7/26/2024
FacilityType	Waiver

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