53D2090991 CLIA NUMBER - SUMMIT MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 53D2090991
  • Facility Name: SUMMIT MEDICAL CENTER
  • Facility Address: 6350 E 2ND ST
    CASPER, WY
    ZIP 82609
  • Facility Phone: 307 232-6640
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: NYASHA O. BULLOCK
  • NPI Number: 1609297506
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 53D2090991
LAB Type Hospital
Facility Name SUMMIT MEDICAL CENTER
Street 6350 E 2ND ST
City CASPER
State WY
ZIP 82609
Phone 307 232-6640
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Hospital
Lab Director NYASHA O. BULLOCK

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