53D1022658 CLIA NUMBER - BABSON & ASSOCIATES PRIMARY CARE PC

Laboratory Demographics

  • CLIA Code: 53D1022658
  • Facility Name: BABSON & ASSOCIATES PRIMARY CARE PC
  • Facility Address: 1331 PRAIRIE AVENUE SUITE 1
    CHEYENNE, WY
    ZIP 82009
  • Facility Phone: 307 632-0728
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DOUGLAS W. EDGREN
  • NPI Number: 1184639759
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 53D1022658
LAB Type Physician Office
Facility Name BABSON & ASSOCIATES PRIMARY CARE PC
Street 1331 PRAIRIE AVENUE SUITE 1
City CHEYENNE
State WY
ZIP 82009
Phone 307 632-0728
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/23/2024
Certificate Expiration Date 2/22/2026
Facility Type Physician Office
Lab Director DOUGLAS W. EDGREN

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