Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
53D1068544
|
|
Clinical laboratory number
|
|
Lab Name
|
SHOSHONE & ARAPAHO HEADSTART 0-5 PROG
|
|
Laboratory Name
|
|
Lab Type
|
School/Student Health Service
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
307-332-7163
|
|
Laboratory telephone number
|
|
Fax
|
307-332-7224
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
#79 SACAJAWEA CIRCLE
|
|
Primary location adress line
|
|
City
|
FORT WASHAKIE
|
|
Primary location city name
|
|
State
|
WY
|
|
Primary location state name
|
|
Zip
|
82514
|
|
Primary location postal code
|