53D2177522 CLIA NUMBER - PERSONAL FRONTIERS INC

Laboratory Demographics

  • CLIA Code: 53D2177522
  • Facility Name: PERSONAL FRONTIERS INC
  • Facility Address: 310 S MILLER AVE, STE G
    GILLETTE, WY
    ZIP 82716
  • Facility Phone: (307) 686-1189
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: KAY GUIRE
  • NPI Number: 1942458195
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 53D2177522
LAB Type Comp. Outpatient Rehab Facility
Facility Name PERSONAL FRONTIERS INC
Street 310 S MILLER AVE, STE G
City GILLETTE
State WY
ZIP 82716
Phone 3076861189
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/14/2026
Certificate Expiration Date 1/13/2028
Facility Type Comp. Outpatient Rehab Facility
Lab Director KAY GUIRE

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This page was last updated on: 5/18/2026