53D2279002 CLIA NUMBER - WELLSPRING HEALTH ACCESS

Laboratory Demographics

CLIA Number: 53D2279002

Facility Name: WELLSPRING HEALTH ACCESS

Facility Address:
918 E 2ND ST
CASPER, WY
ZIP 82601
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Facility Phone Number: 307 224-7851

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1679270995

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	53D2279002
LAB Type	Physician Office
Facility Name	WELLSPRING HEALTH ACCESS
Street	918 E 2ND ST
City	CASPER
State	WY
ZIP	82601
Phone	307 224-7851
CertificateType	2
CertificateEffectiveDate	6/29/2023
CertificateExpirationDate	6/28/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024