21D2137476 CLIA NUMBER - BRIGHTER FUTURES PEDIATRICS & LACTATION SVCS LLC

Laboratory Demographics

CLIA Number: 21D2137476

Facility Name: BRIGHTER FUTURES PEDIATRICS & LACTATION SVCS LLC

Facility Address:
172 THOMAS JOHNSON DR SUITE #200
FREDERICK, MD
ZIP 21702
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Facility Phone Number: 301 304-9390

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1255850681

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	21D2137476
LAB Type	Practitioner Other
Facility Name	BRIGHTER FUTURES PEDIATRICS & LACTATION SVCS LLC
Street	172 THOMAS JOHNSON DR SUITE #200
City	FREDERICK
State	MD
ZIP	21702
Phone	301 304-9390
CertificateType	4
CertificateEffectiveDate	9/27/2023
CertificateExpirationDate	9/26/2025
FacilityType	Waiver

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