OrganizationLaboratory Corporation Of AmericaClinical Medical LaboratoryLaboratoriesPractice Address940 E 3rd St Ste 107, Casper, WY 82601-3200(307) 265-8494(800) 222-7566PECOS EnrollmentBased on the most recent information from CMS, provider Laboratory Corporation Of America does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1083943252Provider TypeOrganizationFull NameLaboratory Corporation Of AmericaSubpartNoEnumeration Date12/16/2009Last Updated7/21/2022Contact InformationPractice LocationPractice Address940 E 3rd St Ste 107, Casper, WY 82601-3200Phone(307) 265-8494FaxUnlisted FaxMailing LocationMailing AddressPO Box 2240, Burlington, NC 27216-2240Phone(800) 222-7566FaxUnlisted FaxAuthorized OfficialNameWilliams, Kimberly (Vp)Phone(800) 222-7566Provider TaxonomiesCodeDescriptionLicenseCode291U00000XPrimaryDescriptionClinical Medical LaboratoryLaboratoriesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID53D1105923DescriptionOtherIssuerCLIA