53D0666458 CLIA NUMBER - UROLOGY CLINIC PC

Laboratory Demographics

  • CLIA Code: 53D0666458
  • Facility Name: UROLOGY CLINIC PC
  • Facility Address: 2710 HARNEY ST, STE 200
    LARAMIE, WY
    ZIP 82072
  • Facility Phone: 307 745-3097
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: H LYLE PIERCE MD
  • NPI Number: 1487765764
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 53D0666458
LAB Type Physician Office
Facility Name UROLOGY CLINIC PC
Street 2710 HARNEY ST, STE 200
City LARAMIE
State WY
ZIP 82072
Phone 307 745-3097
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 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Physician Office
Lab Director H LYLE PIERCE MD

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