53D0870325 CLIA NUMBER - LIFE CARE CENTER OF CASPER

Laboratory Demographics

  • CLIA Code: 53D0870325
  • Facility Name: LIFE CARE CENTER OF CASPER
  • Facility Address: 4041 S POPLAR
    CASPER, WY
    ZIP 82601
  • Facility Phone: 307 266-0000
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MR. ALYSSA RENNEISEN
  • NPI Number: 1417498783
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 53D0870325
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIFE CARE CENTER OF CASPER
Street 4041 S POPLAR
City CASPER
State WY
ZIP 82601
Phone 307 266-0000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MR. ALYSSA RENNEISEN

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This page was last updated on: 6/4/2025