53D2254039 CLIA NUMBER - DOWNTOWN PEDIATRICS

Laboratory Demographics

  • CLIA Code: 53D2254039
  • Facility Name: DOWNTOWN PEDIATRICS
  • Facility Address: 601 S GILLETTE AVE
    GILLETTE, WY
    ZIP 82716
  • Facility Phone: 307 660-0296
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HOLLIE B. STEWART
  • NPI Number: 1679225528
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 53D2254039
LAB Type Physician Office
Facility Name DOWNTOWN PEDIATRICS
Street 601 S GILLETTE AVE
City GILLETTE
State WY
ZIP 82716
Phone 307 660-0296
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director HOLLIE B. STEWART

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