53D2069611 CLIA NUMBER - BIRTHING TRADITIONS, LLC

Laboratory Demographics

  • CLIA Code: 53D2069611
  • Facility Name: BIRTHING TRADITIONS, LLC
  • Facility Address: 751 ROAD 11
    POWELL, WY
    ZIP 82435
  • Facility Phone: 307 202-2386
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: MS. MELANIE LENNON
  • NPI Number: 1679104962
  • Taxonomy: 261QB0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 53D2069611
LAB Type Practitioner Other
Facility Name BIRTHING TRADITIONS, LLC
Street 751 ROAD 11
City POWELL
State WY
ZIP 82435
Phone 307 202-2386
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 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Practitioner Other
Lab Director MS. MELANIE LENNON

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