53D1045557 CLIA NUMBER - OSCO PHARMACY #0066

Laboratory Demographics

  • CLIA Code: 53D1045557
  • Facility Name: OSCO PHARMACY #0066
  • Facility Address: 5800 YELLOWSTON RD
    CHEYENNE, WY
    ZIP 82009
  • Facility Phone: 307 637-8361
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: LIBBY PHILLIPS
  • NPI Number: 1861676363
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 53D1045557
LAB Type Pharmacy
Facility Name OSCO PHARMACY #0066
Street 5800 YELLOWSTON RD
City CHEYENNE
State WY
ZIP 82009
Phone 307 637-8361
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 LIBBY PHILLIPS

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