53D2302077 CLIA NUMBER - INTEGRATIVE HEALTH SPECIALISTS LLC DBA/ GANNETT HEALTH

Laboratory Demographics

  • CLIA Code: 53D2302077
  • Facility Name: INTEGRATIVE HEALTH SPECIALISTS LLC DBA/ GANNETT HEALTH
  • Facility Address: 23 E BRUNDAGE ST STE 1
    SHERIDAN, WY
    ZIP 82801
  • Facility Phone: 307 752-9190
  • Facility Type: Other - NP OFFICE/CLINIC
  • Facility Type: Microscopy
  • Lab Director: LOUISA W. CROSBY
  • NPI Number: 1720235286
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 53D2302077
LAB Type Other - NP OFFICE/CLINIC
Facility Name INTEGRATIVE HEALTH SPECIALISTS LLC DBA/ GANNETT HEALTH
Street 23 E BRUNDAGE ST STE 1
City SHERIDAN
State WY
ZIP 82801
Phone 307 752-9190
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 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Other - NP OFFICE/CLINIC
Lab Director LOUISA W. CROSBY

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