53D2278964 CLIA NUMBER - EVOLVE HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 53D2278964
  • Facility Name: EVOLVE HEALTH SERVICES
  • Facility Address: 6631 E 2ND ST
    CASPER, WY
    ZIP 82609
  • Facility Phone: 307 268-9904
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: REBECCA M. THARP
  • NPI Number: 1457064917
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 53D2278964
LAB Type Physician Office
Facility Name EVOLVE HEALTH SERVICES
Street 6631 E 2ND ST
City CASPER
State WY
ZIP 82609
Phone 307 268-9904
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Physician Office
Lab Director REBECCA M. THARP

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