53D2320190 CLIA NUMBER - SHANI RE LLC

Laboratory Demographics

  • CLIA Code: 53D2320190
  • Facility Name: SHANI RE LLC
  • Facility Address: 525 RANDALL AVE STE 100 #266
    CHEYENNE, WY
    ZIP 82001
  • Facility Phone: 307 201-3715
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IRFAN NAWAZ MUHAMMAD
  • NPI Number: 1205634847
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 53D2320190
LAB Type Physician Office
Facility Name SHANI RE LLC
Street 525 RANDALL AVE STE 100 #266
City CHEYENNE
State WY
ZIP 82001
Phone 307 201-3715
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director IRFAN NAWAZ MUHAMMAD

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