53D2080153 CLIA NUMBER - CASPER CHILDREN'S CENTER

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Laboratory Demographics

CLIA Number: 53D2080153

Facility Name: CASPER CHILDREN'S CENTER

Facility Address:
2222 E 2ND STREET
CASPER, WY
ZIP 82609
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Facility Phone Number: 307 577-4260

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1114333127

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	53D2080153
LAB Type	Physician Office
Facility Name	CASPER CHILDREN'S CENTER
Street	2222 E 2ND STREET
City	CASPER
State	WY
ZIP	82609
Phone	307 577-4260
CertificateType	4
CertificateEffectiveDate	7/1/2022
CertificateExpirationDate	6/30/2024
FacilityType	Waiver

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