FASA FAMILY WELLNESS PLLC
NPI 1174091193
Podiatrist in Lacey, WA
- Organization
- Podiatrist
- CLIA Number: 50D2089344
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-04-2028
About FASA FAMILY WELLNESS PLLC
This page provides the complete NPI Profile along with additional information for Fasa Family Wellness Pllc, a provider established in Lacey, Washington operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1174091193 assigned on November 2018. The practitioner's primary taxonomy code is 213E00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Terrence Eugene Hess (Owner)
- NPI
- 1174091193 Verify this NPI
- Provider Name
- FASA FAMILY WELLNESS PLLC
- Entity Type
- Organization
- Location Address
- 5210 CORPORATE CENTER CT SE STE A LACEY, WA 98503
- Location Phone
- (360) 754-3338
- Mailing Address
- PO BOX 825159 PHILADELPHIA, PA 19182
- Mailing Phone
- (360) 754-3338
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-07-2018
- Last Update Date
- 05-13-2025
- Code Navigator
A podiatrist like Fasa Family Wellness Pllc provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Podiatrist
- Taxonomy Code
- 213E00000X
- Type
- Podiatric Medicine & Surgery Service Providers
- Taxonomy Description
- A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D2089344
- Facility Type
- Physician Office
- Certificate Effective Date
- December 29, 2014
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- TERRENCE E. HESS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fasa Family Wellness Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
LACEY, WA 98503
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1174091193, enumerated as an "organization" on November 07, 2018.
The provider is located at 5210 CORPORATE CENTER CT SE STE A LACEY, WA 98503 and the phone number is (360) 754-3338.
Podiatrist with taxonomy code 213E00000X.
