50D2257276 CLIA NUMBER - ATOMIC DERMATOLOGY, LLC

Laboratory Demographics

CLIA Number: 50D2257276

Facility Name: ATOMIC DERMATOLOGY, LLC

Facility Address:
9221 SANDIFUR PKWY STE A
PASCO, WA
ZIP 99301
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Facility Phone Number: 509 233-7546

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770009706

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	50D2257276
LAB Type	Physician Office
Facility Name	ATOMIC DERMATOLOGY, LLC
Street	9221 SANDIFUR PKWY STE A
City	PASCO
State	WA
ZIP	99301
Phone	509 233-7546
CertificateType	4
CertificateEffectiveDate	4/1/2022
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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