50D2285743 CLIA NUMBER - ADVANCED MEDICAL CARE

Laboratory Demographics

CLIA Number: 50D2285743

Facility Name: ADVANCED MEDICAL CARE

Facility Address:
17418 159TH AVE SE
RENTON, WA
ZIP 98058
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Facility Phone Number: 415 746-0007

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1194442954

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	50D2285743
LAB Type	Home Health Agency
Facility Name	ADVANCED MEDICAL CARE
Street	17418 159TH AVE SE
City	RENTON
State	WA
ZIP	98058
Phone	415 746-0007
CertificateType	4
CertificateEffectiveDate	7/18/2023
CertificateExpirationDate	4/4/2028
FacilityType	Waiver

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