53D0519923 CLIA NUMBER - RIVERTON MEMORIAL HOSPITAL, LLC DBA/SAGE WEST HEALTH CARE-LANDER

Laboratory Demographics

  • CLIA Code: 53D0519923
  • Facility Name: RIVERTON MEMORIAL HOSPITAL, LLC DBA/SAGE WEST HEALTH CARE-LANDER
  • Facility Address: 1320 BISHOP RANDALL DRIVE
    LANDER, WY
    ZIP 82520
  • Facility Phone: 307 856-6354
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. EDWARD CALLAGHAN
  • NPI Number: 1245337286
  • Taxonomy: 282NR1301X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 53D0519923
LAB Type Hospital
Facility Name RIVERTON MEMORIAL HOSPITAL, LLC DBA/SAGE WEST HEALTH CARE-LANDER
Street 1320 BISHOP RANDALL DRIVE
City LANDER
State WY
ZIP 82520
Phone 307 856-6354
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director DR. EDWARD CALLAGHAN

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