53D1065067 CLIA NUMBER - THOMAS T ANDREW, MD

Laboratory Demographics

  • CLIA Code: 53D1065067
  • Facility Name: THOMAS T ANDREW, MD
  • Facility Address: 1301 W 3RD ST
    GILLETTE, WY
    ZIP 82716
  • Facility Phone: 307 682-4551
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: THOMAS T. ANDREW
  • NPI Number: 1356865166
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 53D1065067
LAB Type Physician Office
Facility Name THOMAS T ANDREW, MD
Street 1301 W 3RD ST
City GILLETTE
State WY
ZIP 82716
Phone 307 682-4551
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 2/21/2025
Certificate Expiration Date 2/20/2027
Facility Type Physician Office
Lab Director THOMAS T. ANDREW

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