53D2214949 CLIA NUMBER - CASPER GENERAL SURGERY

Laboratory Demographics

  • CLIA Code: 53D2214949
  • Facility Name: CASPER GENERAL SURGERY
  • Facility Address: 1540 CENTENNIAL COURT #300
    CASPER, WY
    ZIP 82609
  • Facility Phone: 307 337-4981
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LANE L. SMOTHERS
  • NPI Number: 1215335179
  • Taxonomy: 208600000X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 53D2214949
LAB Type Physician Office
Facility Name CASPER GENERAL SURGERY
Street 1540 CENTENNIAL COURT #300
City CASPER
State WY
ZIP 82609
Phone 307 337-4981
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Physician Office
Lab Director LANE L. SMOTHERS

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