53D1057028 CLIA NUMBER - DOUGLAS CARE CENTER

Laboratory Demographics

  • CLIA Code: 53D1057028
  • Facility Name: DOUGLAS CARE CENTER
  • Facility Address: 1108 BIRCH STREET
    DOUGLAS, WY
    ZIP 82633
  • Facility Phone: 307 358-3397
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KARI YEAMAN
  • NPI Number: 1548206642
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 53D1057028
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name DOUGLAS CARE CENTER
Street 1108 BIRCH STREET
City DOUGLAS
State WY
ZIP 82633
Phone 307 358-3397
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KARI YEAMAN

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