53D0663980 CLIA NUMBER - BRUCE HAYSE MD

Laboratory Demographics

  • CLIA Code: 53D0663980
  • Facility Name: BRUCE HAYSE MD
  • Facility Address: 269 W BROADWAY
    JACKSON, WY
    ZIP 83001
  • Facility Phone: (307) 733-6700
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRUCE HAYSE
  • NPI Number: 1154491579
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 53D0663980
LAB Type Physician Office
Facility Name BRUCE HAYSE MD
Street 269 W BROADWAY
City JACKSON
State WY
ZIP 83001
Phone 3077336700
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director BRUCE HAYSE

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This page was last updated on: 5/18/2026