53D0685583 CLIA NUMBER - CROOK COUNTY MEDICAL SERVICES DISTRICT

Laboratory Demographics

  • CLIA Code: 53D0685583
  • Facility Name: CROOK COUNTY MEDICAL SERVICES DISTRICT
  • Facility Address: 713 OAK ST
    SUNDANCE, WY
    ZIP 82729
  • Facility Phone: 307 283-3501
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: MICKI LYONS
  • NPI Number: 1912075102
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 53D0685583
LAB Type Rural Health Clinic
Facility Name CROOK COUNTY MEDICAL SERVICES DISTRICT
Street 713 OAK ST
City SUNDANCE
State WY
ZIP 82729
Phone 307 283-3501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Rural Health Clinic
Lab Director MICKI LYONS

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