53D2148974 CLIA NUMBER - WAMSUTTER EMS

Laboratory Demographics

  • CLIA Code: 53D2148974
  • Facility Name: WAMSUTTER EMS
  • Facility Address: 231 MCCORMICK ST
    WAMSUTTER, WY
    ZIP 82336
  • Facility Phone: 307 328-0468
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. MATTHEW COX
  • NPI Number: 1194056127
  • Taxonomy: 363AM0700X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 53D2148974
LAB Type Ambulance
Facility Name WAMSUTTER EMS
Street 231 MCCORMICK ST
City WAMSUTTER
State WY
ZIP 82336
Phone 307 328-0468
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Ambulance
Lab Director MR. MATTHEW COX

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This page was last updated on: 6/4/2025