53D2327572 CLIA NUMBER - CLOUD PEAK PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 53D2327572
  • Facility Name: CLOUD PEAK PEDIATRICS, LLC
  • Facility Address: 530 RUNNING W DR #120
    GILLETTE, WY
    ZIP 82718
  • Facility Phone: 307 687-7337
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: VALERIE B. AMSTADT
  • NPI Number: 1619861671
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 53D2327572
LAB Type Practitioner Other
Facility Name CLOUD PEAK PEDIATRICS, LLC
Street 530 RUNNING W DR #120
City GILLETTE
State WY
ZIP 82718
Phone 307 687-7337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/24/2025
Certificate Expiration Date 7/23/2027
Facility Type Practitioner Other
Lab Director VALERIE B. AMSTADT

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