53D2230824 CLIA NUMBER - CENTRAL WYOMING HOSPICE PROGRAM

Laboratory Demographics

  • CLIA Code: 53D2230824
  • Facility Name: CENTRAL WYOMING HOSPICE PROGRAM
  • Facility Address: 319 S WILSON ST
    CASPER, WY
    ZIP 82601
  • Facility Phone: 307 577-4832
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KILTY BROWN
  • NPI Number: 1295725976
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 53D2230824
LAB Type Hospice
Facility Name CENTRAL WYOMING HOSPICE PROGRAM
Street 319 S WILSON ST
City CASPER
State WY
ZIP 82601
Phone 307 577-4832
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Hospice
Lab Director KILTY BROWN

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