53D0519794 CLIA NUMBER - GOSHEN HEALTHCARE COMMUNITY

Laboratory Demographics

  • CLIA Code: 53D0519794
  • Facility Name: GOSHEN HEALTHCARE COMMUNITY
  • Facility Address: 2009 LARAMIE STREET
    TORRINGTON, WY
    ZIP 82240
  • Facility Phone: 307 352-4038
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAULA FONTAINE
  • NPI Number: 1053727255
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 53D0519794
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GOSHEN HEALTHCARE COMMUNITY
Street 2009 LARAMIE STREET
City TORRINGTON
State WY
ZIP 82240
Phone 307 352-4038
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PAULA FONTAINE

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