53D1091168 CLIA NUMBER - ROBBINS DERMATOLOGY PC

Laboratory Demographics

CLIA Number: 53D1091168

Facility Name: ROBBINS DERMATOLOGY PC

Facility Address:
206 N BROOKS ST
SHERIDAN, WY
ZIP 82801
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Facility Phone Number: 307 672-8941

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1982870697

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	53D1091168
LAB Type	Physician Office
Facility Name	ROBBINS DERMATOLOGY PC
Street	206 N BROOKS ST
City	SHERIDAN
State	WY
ZIP	82801
Phone	307 672-8941
CertificateType	3
CertificateEffectiveDate	10/27/2022
CertificateExpirationDate	10/26/2024
FacilityType	PPMP

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This page was last updated on: 4/23/2024