53D2231632 CLIA NUMBER - WALGREENS #07601

Laboratory Demographics

  • CLIA Code: 53D2231632
  • Facility Name: WALGREENS #07601
  • Facility Address: 1071 CY AVE
    CASPER, WY
    ZIP 82604
  • Facility Phone: 307 234-9379
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: HALEY J. KEITH
  • NPI Number: 1689689762
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 53D2231632
LAB Type Pharmacy
Facility Name WALGREENS #07601
Street 1071 CY AVE
City CASPER
State WY
ZIP 82604
Phone 307 234-9379
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2023
Certificate Expiration Date 8/3/2025
Facility Type Pharmacy
Lab Director HALEY J. KEITH

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This page was last updated on: 6/4/2025