53D1045553 CLIA NUMBER - OSCO PHARMACY #0062

Laboratory Demographics

  • CLIA Code: 53D1045553
  • Facility Name: OSCO PHARMACY #0062
  • Facility Address: 2625 E 2ND ST
    CASPER, WY
    ZIP 82609
  • Facility Phone: 307 234-7159
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: STEVEN L. MALSON
  • NPI Number: 1235313735
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 53D1045553
LAB Type Pharmacy
Facility Name OSCO PHARMACY #0062
Street 2625 E 2ND ST
City CASPER
State WY
ZIP 82609
Phone 307 234-7159
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Pharmacy
Lab Director STEVEN L. MALSON

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