34D2193154 CLIA NUMBER - NOVANT HEALTH BRUNSWICK MEDICAL CENTER - PPM

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Laboratory Demographics

CLIA Number: 34D2193154

Facility Name: NOVANT HEALTH BRUNSWICK MEDICAL CENTER - PPM

Facility Address:
240 HOSPITAL DR
BOLIVIA, NC
ZIP 28422
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Facility Phone Number: 336 718-6426

Facility Type: Hospital

Certificate Type: Microscopy

NPI Number: 1669725198

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	34D2193154
LAB Type	Hospital
Facility Name	NOVANT HEALTH BRUNSWICK MEDICAL CENTER - PPM
Street	240 HOSPITAL DR
City	BOLIVIA
State	NC
ZIP	28422
Phone	336 718-6426
CertificateType	3
CertificateEffectiveDate	9/17/2022
CertificateExpirationDate	9/16/2024
FacilityType	PPMP

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