53D2195189 CLIA NUMBER - EMG CASPER PP LLC

Laboratory Demographics

  • CLIA Code: 53D2195189
  • Facility Name: EMG CASPER PP LLC
  • Facility Address: 1930 EAST 12TH ST
    CASPER, WY
    ZIP 82601
  • Facility Phone: 307 265-2273
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: HEATHER FROLING
  • NPI Number: 1336470418
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 53D2195189
LAB Type Assisted Living Facility
Facility Name EMG CASPER PP LLC
Street 1930 EAST 12TH ST
City CASPER
State WY
ZIP 82601
Phone 307 265-2273
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 HEATHER FROLING

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