42D2158748 CLIA NUMBER - SEE ALTERNATIVES PEDIATRICS

Laboratory Demographics

CLIA Number: 42D2158748

Facility Name: SEE ALTERNATIVES PEDIATRICS

Facility Address:
3227 WALTERS DR, STE C1
JOHNS ISLAND, SC
ZIP 29455
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Facility Phone Number: 843 619-3574

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1376996546

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	42D2158748
LAB Type	Practitioner Other
Facility Name	SEE ALTERNATIVES PEDIATRICS
Street	3227 WALTERS DR, STE C1
City	JOHNS ISLAND
State	SC
ZIP	29455
Phone	843 619-3574
CertificateType	4
CertificateEffectiveDate	12/6/2022
CertificateExpirationDate	12/5/2024
FacilityType	Waiver

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