53D2152186 CLIA NUMBER - DIVINE WOMEN'S CARE LLC

Laboratory Demographics

  • CLIA Code: 53D2152186
  • Facility Name: DIVINE WOMEN'S CARE LLC
  • Facility Address: 1748 S POPLAR STREET
    CASPER, WY
    ZIP 82601
  • Facility Phone: 307 262-5134
  • Facility Type: Practitioner Other
  • Facility Type: Microscopy
  • Lab Director: AMBER ZIMMER
  • NPI Number: 1548746993
  • Taxonomy: 367A00000X - Advanced Practice Midwife

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CLIA Record

Field Name Field Value
CLIA Number 53D2152186
LAB Type Practitioner Other
Facility Name DIVINE WOMEN'S CARE LLC
Street 1748 S POPLAR STREET
City CASPER
State WY
ZIP 82601
Phone 307 262-5134
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 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Practitioner Other
Lab Director AMBER ZIMMER

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