An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
taxonomy 247ZC0005X
Lodging
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
taxonomy 177F00000X
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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