53D0904049 CLIA NUMBER - CHEYENNE UROLOGICAL PC

Laboratory Demographics

  • CLIA Code: 53D0904049
  • Facility Name: CHEYENNE UROLOGICAL PC
  • Facility Address: 2301 HOUSE AVENUE #502
    CHEYENNE, WY
    ZIP 82001
  • Facility Phone: 307 635-4131
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. JAKUB STEFKA
  • NPI Number: 1942388178
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 53D0904049
LAB Type Physician Office
Facility Name CHEYENNE UROLOGICAL PC
Street 2301 HOUSE AVENUE #502
City CHEYENNE
State WY
ZIP 82001
Phone 307 635-4131
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/8/2025
Certificate Expiration Date 9/7/2027
Facility Type Physician Office
Lab Director DR. JAKUB STEFKA

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