53D0519718 CLIA NUMBER - LIFE CARE CENTER OF CHEYENNE

Laboratory Demographics

  • CLIA Code: 53D0519718
  • Facility Name: LIFE CARE CENTER OF CHEYENNE
  • Facility Address: 1330 PRAIRIE AVE
    CHEYENNE, WY
    ZIP 82009
  • Facility Phone: 307 778-8997
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PHILIP SCHIEL
  • NPI Number: 1750321584
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 53D0519718
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LIFE CARE CENTER OF CHEYENNE
Street 1330 PRAIRIE AVE
City CHEYENNE
State WY
ZIP 82009
Phone 307 778-8997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PHILIP SCHIEL

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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