53D2302654 CLIA NUMBER - JENNIFER GALLOWAY FNP-C

Laboratory Demographics

  • CLIA Code: 53D2302654
  • Facility Name: JENNIFER GALLOWAY FNP-C
  • Facility Address: 234 E 1ST ST STE 17
    CASPER, WY
    ZIP 82601
  • Facility Phone: 307 333-0034
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER E. GALLOWAY
  • NPI Number: 1679205009
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 53D2302654
LAB Type Physician Office
Facility Name JENNIFER GALLOWAY FNP-C
Street 234 E 1ST ST STE 17
City CASPER
State WY
ZIP 82601
Phone 307 333-0034
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/12/2024
Certificate Expiration Date 4/11/2026
Facility Type Physician Office
Lab Director JENNIFER E. GALLOWAY

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