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34D1030827 CLIA NUMBER - ATKINS FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 34D1030827

Facility Name: ATKINS FAMILY PRACTICE

Facility Address:
1911 S 17TH STREET STE 130-A
WILMINGTON, NC
ZIP 28401
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Facility Phone Number: 910 790-7840

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1588105001

Taxonomy: 363A00000X - Physician Assistant
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

CLIA Record

Field Name Field Value
CLIA Number 34D1030827
LAB Type Physician Office
Facility Name ATKINS FAMILY PRACTICE
Street 1911 S 17TH STREET STE 130-A
City WILMINGTON
State NC
ZIP 28401
Phone 910 790-7840
CertificateType 4
CertificateEffectiveDate 9/17/2022
CertificateExpirationDate 9/16/2024
FacilityType Waiver

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