53D2168061 CLIA NUMBER - NORTH STAR PHARMACY AND INFUSION

Laboratory Demographics

  • CLIA Code: 53D2168061
  • Facility Name: NORTH STAR PHARMACY AND INFUSION
  • Facility Address: 7121 COMMONS DRIVE
    CHEYENNE, WY
    ZIP 82009
  • Facility Phone: 307 637-4300
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: SCOT SCHMIDT
  • NPI Number: 1477125540
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 53D2168061
LAB Type Pharmacy
Facility Name NORTH STAR PHARMACY AND INFUSION
Street 7121 COMMONS DRIVE
City CHEYENNE
State WY
ZIP 82009
Phone 307 637-4300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2025
Certificate Expiration Date 6/19/2027
Facility Type Pharmacy
Lab Director SCOT SCHMIDT

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