53D2151458 CLIA NUMBER - ARROWHEAD FAMILY MEDICINE, LLC

Laboratory Demographics

  • CLIA Code: 53D2151458
  • Facility Name: ARROWHEAD FAMILY MEDICINE, LLC
  • Facility Address: 195 FEATHER WAY
    EVANSTON, WY
    ZIP 82930
  • Facility Phone: 307 877-4401
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: JADE STEFFEN
  • NPI Number: 1689207722
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 53D2151458
LAB Type Rural Health Clinic
Facility Name ARROWHEAD FAMILY MEDICINE, LLC
Street 195 FEATHER WAY
City EVANSTON
State WY
ZIP 82930
Phone 307 877-4401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Rural Health Clinic
Lab Director JADE STEFFEN

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