53D2306475 CLIA NUMBER - WYOCITY MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 53D2306475
  • Facility Name: WYOCITY MEDICAL GROUP LLC
  • Facility Address: 940 E 3RD STE, STE 205
    CASPER, WY
    ZIP 82601
  • Facility Phone: 307 243-5370
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERT A. DUNN
  • NPI Number: 1033800321
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 53D2306475
LAB Type Physician Office
Facility Name WYOCITY MEDICAL GROUP LLC
Street 940 E 3RD STE, STE 205
City CASPER
State WY
ZIP 82601
Phone 307 243-5370
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Physician Office
Lab Director ROBERT A. DUNN

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