53D0520070 CLIA NUMBER - CAMPBELL COUNTY HEALTH

Laboratory Demographics

  • CLIA Code: 53D0520070
  • Facility Name: CAMPBELL COUNTY HEALTH
  • Facility Address: 501 S BURMA AVE
    GILLETTE, WY
    ZIP 82716
  • Facility Phone: 307 688-1210
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: NYASHA BULLOCK
  • NPI Number: 1083278501
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 53D0520070
LAB Type Hospital
Facility Name CAMPBELL COUNTY HEALTH
Street 501 S BURMA AVE
City GILLETTE
State WY
ZIP 82716
Phone 307 688-1210
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director NYASHA BULLOCK

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