53D2298473 CLIA NUMBER - BROULIMS PHARMACY #14 - ALPINE

Laboratory Demographics

  • CLIA Code: 53D2298473
  • Facility Name: BROULIMS PHARMACY #14 - ALPINE
  • Facility Address: 118400 US HWY 26/89
    ALPINE, WY
    ZIP 83128
  • Facility Phone: (307) 887-7781
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MARCUS C. HURST

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CLIA Record

Field Name Field Value
CLIA Number 53D2298473
LAB Type Pharmacy
Facility Name BROULIMS PHARMACY #14 - ALPINE
Street 118400 US HWY 26/89
City ALPINE
State WY
ZIP 83128
Phone 3078877781
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2026
Certificate Expiration Date 2/1/2028
Facility Type Pharmacy
Lab Director MARCUS C. HURST

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This page was last updated on: 5/18/2026