53D0909290 CLIA NUMBER - CHARLES C YOUNG, MD

Laboratory Demographics

  • CLIA Code: 53D0909290
  • Facility Name: CHARLES C YOUNG, MD
  • Facility Address: 1812 E DALEY ST
    RAWLINS, WY
    ZIP 82301
  • Facility Phone: (307) 324-6711
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JEWEL C. YOUNG
  • NPI Number: 1538252077
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 53D0909290
LAB Type Physician Office
Facility Name CHARLES C YOUNG, MD
Street 1812 E DALEY ST
City RAWLINS
State WY
ZIP 82301
Phone 3073246711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2025
Certificate Expiration Date 11/29/2027
Facility Type Physician Office
Lab Director DR. JEWEL C. YOUNG

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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