53D1007864 CLIA NUMBER - LISA WILLIAMS MD

Laboratory Demographics

  • CLIA Code: 53D1007864
  • Facility Name: LISA WILLIAMS MD
  • Facility Address: 1443 BECK AVENUE
    CODY, WY
    ZIP 82414
  • Facility Phone: (307) 527-7811
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. LISA B. WILLIAMS
  • NPI Number: 1750376083
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 53D1007864
LAB Type Physician Office
Facility Name LISA WILLIAMS MD
Street 1443 BECK AVENUE
City CODY
State WY
ZIP 82414
Phone 3075277811
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Physician Office
Lab Director DR. LISA B. WILLIAMS

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