53D0956671 CLIA NUMBER - WYOMING KIDNEY CENTER LLC, D/B/A U.S. RENAL CARE WYOMING DIALYSIS

Laboratory Demographics

  • CLIA Code: 53D0956671
  • Facility Name: WYOMING KIDNEY CENTER LLC, D/B/A U.S. RENAL CARE WYOMING DIALYSIS
  • Facility Address: 1141 WILKINS CIR
    CASPER, WY
    ZIP 82601
  • Facility Phone: 214 736-2700
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: SAMUEL CHAKOLA
  • NPI Number: 1508837865
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 53D0956671
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name WYOMING KIDNEY CENTER LLC, D/B/A U.S. RENAL CARE WYOMING DIALYSIS
Street 1141 WILKINS CIR
City CASPER
State WY
ZIP 82601
Phone 214 736-2700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director SAMUEL CHAKOLA

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