53D2281744 CLIA NUMBER - OUTPATIENT RADIOLOGY LLC

Laboratory Demographics

  • CLIA Code: 53D2281744
  • Facility Name: OUTPATIENT RADIOLOGY LLC
  • Facility Address: 419 S WASHINGTON SUITE 101
    CASPER, WY
    ZIP 82601
  • Facility Phone: 307 232-5047
  • Facility Type: Other - OUTPATIENT RADIOLOGY IMAG
  • Facility Type: Waiver
  • Lab Director: KAYLA BULLINGTON
  • NPI Number: 1396704474
  • Taxonomy: 2085R0202X - Radiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 53D2281744
LAB Type Other - OUTPATIENT RADIOLOGY IMAG
Facility Name OUTPATIENT RADIOLOGY LLC
Street 419 S WASHINGTON SUITE 101
City CASPER
State WY
ZIP 82601
Phone 307 232-5047
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Other - OUTPATIENT RADIOLOGY IMAG
Lab Director KAYLA BULLINGTON

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