53D1014073 CLIA NUMBER - CASPER CBOC

Laboratory Demographics

  • CLIA Code: 53D1014073
  • Facility Name: CASPER CBOC
  • Facility Address: 111 SOUTH JEFFERSON
    CASPER, WY
    ZIP 82601
  • Facility Phone: 307 235-4143
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: REBECCA THOMPSON
  • NPI Number: 1750840468
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 53D1014073
LAB Type Community Clinic
Facility Name CASPER CBOC
Street 111 SOUTH JEFFERSON
City CASPER
State WY
ZIP 82601
Phone 307 235-4143
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 6/25/2003
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director REBECCA THOMPSON

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