50D2279127 CLIA NUMBER - GLORIA OLSSON ARNP

Laboratory Demographics

CLIA Number: 50D2279127

Facility Name: GLORIA OLSSON ARNP

Facility Address:
1305 MANSFIELD ST STE 4
RICHLAND, WA
ZIP 99352
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Facility Phone Number: 509 946-6124

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1316516073

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	50D2279127
LAB Type	Physician Office
Facility Name	GLORIA OLSSON ARNP
Street	1305 MANSFIELD ST STE 4
City	RICHLAND
State	WA
ZIP	99352
Phone	509 946-6124
CertificateType	4
CertificateEffectiveDate	3/29/2023
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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