53D0690826 CLIA NUMBER - REGIONAL WEST LABORATORY SERVICE

Laboratory Demographics

  • CLIA Code: 53D0690826
  • Facility Name: REGIONAL WEST LABORATORY SERVICE
  • Facility Address: 1331 PRAIRIE AVENUE
    CHEYENNE, WY
    ZIP 82009
  • Facility Phone: 307 638-7800
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: ANN COURTIER
  • NPI Number: 1639186778
  • Taxonomy: 101YM0800X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 53D0690826
LAB Type Independent
Facility Name REGIONAL WEST LABORATORY SERVICE
Street 1331 PRAIRIE AVENUE
City CHEYENNE
State WY
ZIP 82009
Phone 307 638-7800
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 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Independent
Lab Director ANN COURTIER

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