53D1001331 CLIA NUMBER - SWEETWATER SURGERY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 53D1001331
  • Facility Name: SWEETWATER SURGERY CENTER, LLC
  • Facility Address: 2761 COMMERCIAL WAY
    ROCK SPRINGS, WY
    ZIP 82901
  • Facility Phone: (307) 382-6873
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PETER M. JENSEN
  • NPI Number: 1336144617
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 53D1001331
LAB Type Ambulatory Surgery Center
Facility Name SWEETWATER SURGERY CENTER, LLC
Street 2761 COMMERCIAL WAY
City ROCK SPRINGS
State WY
ZIP 82901
Phone 3073826873
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Ambulatory Surgery Center
Lab Director PETER M. JENSEN

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This page was last updated on: 5/15/2026