53D2133125 CLIA NUMBER - PLATTE COUNTY HOSPITAL DBA/ BANNER MEDICAL CLINIC GUERNSEY

Laboratory Demographics

  • CLIA Code: 53D2133125
  • Facility Name: PLATTE COUNTY HOSPITAL DBA/ BANNER MEDICAL CLINIC GUERNSEY
  • Facility Address: 1 E WHALEN ST
    GUERNSEY, WY
    ZIP 82214
  • Facility Phone: 307 322-3861
  • Facility Type: Other - RURAL HEALTH CLINIC
  • Facility Type: Microscopy
  • Lab Director: JEFF CECIL
  • NPI Number: 1174052989
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 53D2133125
LAB Type Other - RURAL HEALTH CLINIC
Facility Name PLATTE COUNTY HOSPITAL DBA/ BANNER MEDICAL CLINIC GUERNSEY
Street 1 E WHALEN ST
City GUERNSEY
State WY
ZIP 82214
Phone 307 322-3861
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 8/13/2024
Certificate Expiration Date 8/12/2026
Facility Type Other - RURAL HEALTH CLINIC
Lab Director JEFF CECIL

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