34D1093844 CLIA NUMBER - SYNERGY HEALTHCARE AT UMRH - CYPRESS GLEN

Laboratory Demographics

CLIA Number: 34D1093844

Facility Name: SYNERGY HEALTHCARE AT UMRH - CYPRESS GLEN

Facility Address:
3140 N HWY, SUITE 103
DENVER, NC
ZIP 28037
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Facility Phone Number: 980 505-8400

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1164969515

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	34D1093844
LAB Type	Practitioner Other
Facility Name	SYNERGY HEALTHCARE AT UMRH - CYPRESS GLEN
Street	3140 N HWY, SUITE 103
City	DENVER
State	NC
ZIP	28037
Phone	980 505-8400
CertificateType	4
CertificateEffectiveDate	1/5/2023
CertificateExpirationDate	1/4/2025
FacilityType	Waiver

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