53D0520001 CLIA NUMBER - SHEPHERD OF THE VALLEY REHABILITATION AND WELLNESS

Laboratory Demographics

  • CLIA Code: 53D0520001
  • Facility Name: SHEPHERD OF THE VALLEY REHABILITATION AND WELLNESS
  • Facility Address: 60 MAGNOLIA STREET
    CASPER, WY
    ZIP 82604
  • Facility Phone: 307 234-9381
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ERIC J. LAWRENCE
  • NPI Number: 1588697742
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 53D0520001
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SHEPHERD OF THE VALLEY REHABILITATION AND WELLNESS
Street 60 MAGNOLIA STREET
City CASPER
State WY
ZIP 82604
Phone 307 234-9381
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 ERIC J. LAWRENCE

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