53D2322224 CLIA NUMBER - STEAMBOAT PSYCHIATRY

Laboratory Demographics

  • CLIA Code: 53D2322224
  • Facility Name: STEAMBOAT PSYCHIATRY
  • Facility Address: 1301 S WISCONSIN AVE
    CASPER, WY
    ZIP 82609
  • Facility Phone: 307 251-7220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAI WENTZ
  • NPI Number: 1669204632
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 53D2322224
LAB Type Physician Office
Facility Name STEAMBOAT PSYCHIATRY
Street 1301 S WISCONSIN AVE
City CASPER
State WY
ZIP 82609
Phone 307 251-7220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Physician Office
Lab Director KAI WENTZ

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