53D2228688 CLIA NUMBER - MEADOWLARK PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 53D2228688
  • Facility Name: MEADOWLARK PEDIATRICS, LLC
  • Facility Address: 204 MCCOLLUM DRIVE, SUITE 203
    LARAMIE, WY
    ZIP 82070
  • Facility Phone: 307 314-4242
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAULA S. VASEK
  • NPI Number: 1497339956
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 53D2228688
LAB Type Physician Office
Facility Name MEADOWLARK PEDIATRICS, LLC
Street 204 MCCOLLUM DRIVE, SUITE 203
City LARAMIE
State WY
ZIP 82070
Phone 307 314-4242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Physician Office
Lab Director PAULA S. VASEK

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