53D1040671 CLIA NUMBER - CHEYENNE HEALTH AND WELLNESS CENTER DBA/HEALTHWORKS

Laboratory Demographics

  • CLIA Code: 53D1040671
  • Facility Name: CHEYENNE HEALTH AND WELLNESS CENTER DBA/HEALTHWORKS
  • Facility Address: 2508 E FOX FARM ROAD SUITE 1A
    CHEYENNE, WY
    ZIP 82007
  • Facility Phone: 307 635-3618
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DANIEL RIVARD
  • NPI Number: 1538370895
  • Taxonomy: 385HR2060X - Respite Care

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CLIA Record

Field Name Field Value
CLIA Number 53D1040671
LAB Type Federally Qualified Health Center
Facility Name CHEYENNE HEALTH AND WELLNESS CENTER DBA/HEALTHWORKS
Street 2508 E FOX FARM ROAD SUITE 1A
City CHEYENNE
State WY
ZIP 82007
Phone 307 635-3618
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/13/2025
Certificate Expiration Date 5/12/2027
Facility Type Federally Qualified Health Center
Lab Director DANIEL RIVARD

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