53D2258046 CLIA NUMBER - ICCO DBA BESTMED

Laboratory Demographics

  • CLIA Code: 53D2258046
  • Facility Name: ICCO DBA BESTMED
  • Facility Address: 2025 E 2ND ST
    CASPER, WY
    ZIP 82609
  • Facility Phone: 541 641-6053
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: DANIEL SURDAM
  • NPI Number: 1750492906
  • Taxonomy: 261Q00000X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 53D2258046
LAB Type Other - URGENT CARE
Facility Name ICCO DBA BESTMED
Street 2025 E 2ND ST
City CASPER
State WY
ZIP 82609
Phone 541 641-6053
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2024
Certificate Expiration Date 4/14/2026
Facility Type Other - URGENT CARE
Lab Director DANIEL SURDAM

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