53D0519657 CLIA NUMBER - CHEYENNE CHILDREN'S CLINIC

Laboratory Demographics

  • CLIA Code: 53D0519657
  • Facility Name: CHEYENNE CHILDREN'S CLINIC
  • Facility Address: 2301 HOUSE AVENUE SUITE 450
    CHEYENNE, WY
    ZIP 82001
  • Facility Phone: 307 635-7961
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANAE STAMPFIL
  • NPI Number: 1073537601
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 53D0519657
LAB Type Physician Office
Facility Name CHEYENNE CHILDREN'S CLINIC
Street 2301 HOUSE AVENUE SUITE 450
City CHEYENNE
State WY
ZIP 82001
Phone 307 635-7961
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2025
Certificate Expiration Date 2/13/2027
Facility Type Physician Office
Lab Director DANAE STAMPFIL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025