53D2301481 CLIA NUMBER - SUMMIT PATHOLOGY

Laboratory Demographics

  • CLIA Code: 53D2301481
  • Facility Name: SUMMIT PATHOLOGY
  • Facility Address: 2360 EAST PERSHING BOULEVARD
    CHEYENNE, WY
    ZIP 82001
  • Facility Phone: 970 212-0530
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: BENJAMIN CHAMBERLAIN
  • NPI Number: 1912966458
  • Taxonomy: 207ZP0102X - Pathology

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CLIA Record

Field Name Field Value
CLIA Number 53D2301481
LAB Type Independent
Facility Name SUMMIT PATHOLOGY
Street 2360 EAST PERSHING BOULEVARD
City CHEYENNE
State WY
ZIP 82001
Phone 970 212-0530
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Independent
Lab Director BENJAMIN CHAMBERLAIN

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