53D1084616 CLIA NUMBER - BASIN VISION

Laboratory Demographics

  • CLIA Code: 53D1084616
  • Facility Name: BASIN VISION
  • Facility Address: 1531 BLEISTEIN AVENUE
    CODY, WY
    ZIP 82414
  • Facility Phone: 307 587-4206
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JAMES H. BELL, OD
  • NPI Number: 1689707820
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 53D1084616
LAB Type Mobile Laboratory
Facility Name BASIN VISION
Street 1531 BLEISTEIN AVENUE
City CODY
State WY
ZIP 82414
Phone 307 587-4206
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Mobile Laboratory
Lab Director JAMES H. BELL, OD

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