53D2304339 CLIA NUMBER - 307 PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 53D2304339
  • Facility Name: 307 PEDIATRICS LLC
  • Facility Address: 940 E 3RD STREET SUITE 203
    CASPER, WY
    ZIP 82601
  • Facility Phone: 307 216-5310
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEVIN RHOADES
  • NPI Number: 1265288526
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 53D2304339
LAB Type Physician Office
Facility Name 307 PEDIATRICS LLC
Street 940 E 3RD STREET SUITE 203
City CASPER
State WY
ZIP 82601
Phone 307 216-5310
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/10/2024
Certificate Expiration Date 5/9/2026
Facility Type Physician Office
Lab Director DEVIN RHOADES

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