53D2195187 CLIA NUMBER - EMG CASPER MW LLC

Laboratory Demographics

  • CLIA Code: 53D2195187
  • Facility Name: EMG CASPER MW LLC
  • Facility Address: 3955 E 12TH ST
    CASPER, WY
    ZIP 82609
  • Facility Phone: 307 577-3045
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NORA MARTINSON
  • NPI Number: 1790016871
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 53D2195187
LAB Type Assisted Living Facility
Facility Name EMG CASPER MW LLC
Street 3955 E 12TH ST
City CASPER
State WY
ZIP 82609
Phone 307 577-3045
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Assisted Living Facility
Lab Director NORA MARTINSON

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