53D2036482 CLIA NUMBER - PREMIER SURGICAL CENTER, LLC

Home > CLIA Lookup > 53D2036482

Laboratory Demographics

CLIA Number: 53D2036482

Facility Name: PREMIER SURGICAL CENTER, LLC

Facility Address:
195 OVERTHRUST ROAD
EVANSTON, WY
ZIP 82930
Get Directions

Facility Phone Number: 307 444-3600

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1417228370

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	53D2036482
LAB Type	Ambulatory Surgery Center
Facility Name	PREMIER SURGICAL CENTER, LLC
Street	195 OVERTHRUST ROAD
City	EVANSTON
State	WY
ZIP	82930
Phone	307 444-3600
CertificateType	4
CertificateEffectiveDate	2/8/2024
CertificateExpirationDate	2/7/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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