45D2264440 CLIA NUMBER - LONE STAR FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 45D2264440

Facility Name: LONE STAR FAMILY MEDICINE

Facility Address:
2019 S COULTER
AMARILLO, TX
ZIP 79106
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Facility Phone Number: 806 206-4300

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043966146

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	45D2264440
LAB Type	Physician Office
Facility Name	LONE STAR FAMILY MEDICINE
Street	2019 S COULTER
City	AMARILLO
State	TX
ZIP	79106
Phone	806 206-4300
CertificateType	4
CertificateEffectiveDate	7/14/2022
CertificateExpirationDate	7/13/2024
FacilityType	Waiver

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