53D1028128 CLIA NUMBER - JOHNSON COUNTY HEALTHCARE CENTER

Laboratory Demographics

  • CLIA Code: 53D1028128
  • Facility Name: JOHNSON COUNTY HEALTHCARE CENTER
  • Facility Address: 268 NOLAN AVENUE
    KAYCEE, WY
    ZIP 82639
  • Facility Phone: (307) 684-5521
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: REBECCA THOMPSON
  • NPI Number: 1992784961
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 53D1028128
LAB Type Community Clinic
Facility Name JOHNSON COUNTY HEALTHCARE CENTER
Street 268 NOLAN AVENUE
City KAYCEE
State WY
ZIP 82639
Phone 3076845521
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 7/20/2026
Certificate Expiration Date 7/19/2028
Facility Type Community Clinic
Lab Director REBECCA THOMPSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/29/2026