53D2218014 CLIA NUMBER - COWBOY KIDS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 53D2218014
  • Facility Name: COWBOY KIDS PEDIATRICS
  • Facility Address: 5237 HHR RANCH RD, STE 1
    WILSON, WY
    ZIP 83014
  • Facility Phone: 307 203-5035
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUTH ANNE S. TOMLINSON
  • NPI Number: 1932348414
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 53D2218014
LAB Type Physician Office
Facility Name COWBOY KIDS PEDIATRICS
Street 5237 HHR RANCH RD, STE 1
City WILSON
State WY
ZIP 83014
Phone 307 203-5035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Physician Office
Lab Director RUTH ANNE S. TOMLINSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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