51D2133351 CLIA NUMBER - AMARIS MEDICAL, LLC

Laboratory Demographics

CLIA Number: 51D2133351

Facility Name: AMARIS MEDICAL, LLC

Facility Address:
1810 HARPER ROAD
BECKLEY, WV
ZIP 25801
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Facility Phone Number: 681 207-7007

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1013524057

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 51D2133351
LAB Type Practitioner Other
Facility Name AMARIS MEDICAL, LLC
Street 1810 HARPER ROAD
City BECKLEY
State WV
ZIP 25801
Phone 681 207-7007
CertificateType 4
CertificateEffectiveDate 7/11/2023
CertificateExpirationDate 7/10/2025
FacilityType Waiver

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