53D0520195 CLIA NUMBER - SUBLETTE COUNTY HOSPITAL DISTRICT DBA SUBLETTE COUNTY HEALTH

Laboratory Demographics

  • CLIA Code: 53D0520195
  • Facility Name: SUBLETTE COUNTY HOSPITAL DISTRICT DBA SUBLETTE COUNTY HEALTH
  • Facility Address: 615 E HENNICK ST
    PINEDALE, WY
    ZIP 82941
  • Facility Phone: 307 367-4133
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. EDWARD J. CALLAGHAN
  • NPI Number: 1699369082
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 53D0520195
LAB Type Hospital
Facility Name SUBLETTE COUNTY HOSPITAL DISTRICT DBA SUBLETTE COUNTY HEALTH
Street 615 E HENNICK ST
City PINEDALE
State WY
ZIP 82941
Phone 307 367-4133
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 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Hospital
Lab Director DR. EDWARD J. CALLAGHAN

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