53D2270355 CLIA NUMBER - WYO CLINIC LLC

Laboratory Demographics

  • CLIA Code: 53D2270355
  • Facility Name: WYO CLINIC LLC
  • Facility Address: 6 SOUTH 5TH STREET
    GREYBULL, WY
    ZIP 82426
  • Facility Phone: 307 209-3391
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JEFFREY L. SCOTT
  • NPI Number: 1164142824
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 53D2270355
LAB Type Physician Office
Facility Name WYO CLINIC LLC
Street 6 SOUTH 5TH STREET
City GREYBULL
State WY
ZIP 82426
Phone 307 209-3391
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Physician Office
Lab Director JEFFREY L. SCOTT

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