OrganizationLaboratory Corporation Of AmericaClinical Medical LaboratoryLaboratoriesPractice Address2115 E 12th St, Unit A, Casper, WY 82601-7106(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 ID1881672111Provider TypeOrganizationFull NameLaboratory Corporation Of AmericaSubpartNoEnumeration Date1/6/2006Last Updated11/8/2013Contact InformationPractice LocationPractice Address2115 E 12th St, Unit A, Casper, WY 82601-7106Phone(307) 265-8494FaxUnlisted FaxMailing LocationMailing AddressPO Box 2240, Burlington, NC 27216-2240Phone(800) 222-7566Fax(336) 436-1048Authorized OfficialNameWilliams, Kimberly (Vp)Phone(800) 222-7566Provider TaxonomiesCodeDescriptionLicenseCode291U00000XPrimaryDescriptionClinical Medical LaboratoryLaboratoriesLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID53D0947570DescriptionOtherIssuerCLIAWyoming