53D0519936 CLIA NUMBER - COMMUNITY HEALTH CENTER OF CENTRAL WYOMING

Laboratory Demographics

  • CLIA Code: 53D0519936
  • Facility Name: COMMUNITY HEALTH CENTER OF CENTRAL WYOMING
  • Facility Address: 5000 BLACKMORE ROAD
    CASPER, WY
    ZIP 82609
  • Facility Phone: 307 233-6073
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Certificate of Compliance
  • Lab Director: JACEK KLEPACKI
  • NPI Number: 1063951762
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 53D0519936
LAB Type Federally Qualified Health Center
Facility Name COMMUNITY HEALTH CENTER OF CENTRAL WYOMING
Street 5000 BLACKMORE ROAD
City CASPER
State WY
ZIP 82609
Phone 307 233-6073
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 1/25/2024
Certificate Expiration Date 1/24/2026
Facility Type Federally Qualified Health Center
Lab Director JACEK KLEPACKI

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This page was last updated on: 6/4/2025