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24D2068741 CLIA NUMBER - CENTER FOR PRIMARY CARE

Laboratory Demographics

CLIA Number: 24D2068741

Facility Name: CENTER FOR PRIMARY CARE

Facility Address:
717 SOUTH STATE STREET SUITE 800
FAIRMONT, MN
ZIP 56031
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Facility Phone Number: 507 238-4949

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1639696206

Taxonomy: 367500000X - Nurse Anesthetist, Certified Registered
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

CLIA Record

Field Name Field Value
CLIA Number 24D2068741
LAB Type Physician Office
Facility Name CENTER FOR PRIMARY CARE
Street 717 SOUTH STATE STREET SUITE 800
City FAIRMONT
State MN
ZIP 56031
Phone 507 238-4949
CertificateType 4
CertificateEffectiveDate 11/12/2023
CertificateExpirationDate 11/11/2025
FacilityType Waiver

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