53D0519922 CLIA NUMBER - LANDER MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 53D0519922
  • Facility Name: LANDER MEDICAL CLINIC
  • Facility Address: 745 BUENA VISTA DR
    LANDER, WY
    ZIP 82520
  • Facility Phone: 307 332-2941
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: RYAN FIRTH
  • NPI Number: 1932299690
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 53D0519922
LAB Type Physician Office
Facility Name LANDER MEDICAL CLINIC
Street 745 BUENA VISTA DR
City LANDER
State WY
ZIP 82520
Phone 307 332-2941
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/10/2025
Certificate Expiration Date 1/9/2027
Facility Type Physician Office
Lab Director RYAN FIRTH

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