53D0666054 CLIA NUMBER - CASPER DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 53D0666054
  • Facility Name: CASPER DERMATOLOGY
  • Facility Address: 1119 EAST 3RD ST
    CASPER, WY
    ZIP 82601
  • Facility Phone: (307) 266-2772
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: AFTON C. COBB
  • NPI Number: 1447627492
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 53D0666054
LAB Type Physician Office
Facility Name CASPER DERMATOLOGY
Street 1119 EAST 3RD ST
City CASPER
State WY
ZIP 82601
Phone 3072662772
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 2/4/2026
Certificate Expiration Date 2/3/2028
Facility Type Physician Office
Lab Director AFTON C. COBB

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