53D2169304 CLIA NUMBER - BEST CARE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 53D2169304
  • Facility Name: BEST CARE FAMILY PRACTICE
  • Facility Address: 520 WILKES SUITE 13
    GREEN RIVER, WY
    ZIP 82935
  • Facility Phone: 307 212-6242
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: STACY THOMPSON
  • NPI Number: 1710530837
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 53D2169304
LAB Type Practitioner Other
Facility Name BEST CARE FAMILY PRACTICE
Street 520 WILKES SUITE 13
City GREEN RIVER
State WY
ZIP 82935
Phone 307 212-6242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/18/2025
Certificate Expiration Date 7/17/2027
Facility Type Practitioner Other
Lab Director STACY THOMPSON

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