53D0973420 CLIA NUMBER - NORTHERN WYOMING SURGICAL CENTER

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CLIA Record

Field Name Field Value
CLIA Number 53D0973420
LAB Type Ambulatory Surgery Center
Facility Name NORTHERN WYOMING SURGICAL CENTER
Street 732 LINDSAY LANE
City CODY
State WY
ZIP 82414
Phone 307 587-2139
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2024
Certificate Expiration Date 5/3/2026
Facility Type Ambulatory Surgery Center
Lab Director TRACY A. MILLER

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