53D0520082 CLIA NUMBER - WRIGHT CLINIC

Laboratory Demographics

  • CLIA Code: 53D0520082
  • Facility Name: WRIGHT CLINIC
  • Facility Address: 500 LATIGO DRIVE
    WRIGHT, WY
    ZIP 82732
  • Facility Phone: 307 688-8302
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: DR. DON TARDIF
  • NPI Number: 1225081649
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 53D0520082
LAB Type Community Clinic
Facility Name WRIGHT CLINIC
Street 500 LATIGO DRIVE
City WRIGHT
State WY
ZIP 82732
Phone 307 688-8302
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Community Clinic
Lab Director DR. DON TARDIF

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