53D0960473 CLIA NUMBER - ROCKY MOUNTAIN HOME CARE

Laboratory Demographics

  • CLIA Code: 53D0960473
  • Facility Name: ROCKY MOUNTAIN HOME CARE
  • Facility Address: 175 RIVERVIEW DR, SUITE A
    GREEN RIVER, WY
    ZIP 82935
  • Facility Phone: 307 875-7976
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JANETTE DAVIES
  • NPI Number: 1811994122
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 53D0960473
LAB Type Home Health Agency
Facility Name ROCKY MOUNTAIN HOME CARE
Street 175 RIVERVIEW DR, SUITE A
City GREEN RIVER
State WY
ZIP 82935
Phone 307 875-7976
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/11/2025
Certificate Expiration Date 5/10/2027
Facility Type Home Health Agency
Lab Director JANETTE DAVIES

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