53D1082975 CLIA NUMBER - URGENT CARE OF CASPER LLC

Laboratory Demographics

  • CLIA Code: 53D1082975
  • Facility Name: URGENT CARE OF CASPER LLC
  • Facility Address: 2546 E 2ND STREET #200
    CASPER, WY
    ZIP 82609
  • Facility Phone: 307 265-1110
  • Facility Type: Other
  • Facility Type: Microscopy
  • Lab Director: DR. JOSEPH MICKELSON
  • NPI Number: 1376711002
  • Taxonomy: 363A00000X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 53D1082975
LAB Type Other
Facility Name URGENT CARE OF CASPER LLC
Street 2546 E 2ND STREET #200
City CASPER
State WY
ZIP 82609
Phone 307 265-1110
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 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Other
Lab Director DR. JOSEPH MICKELSON

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