53D1045549 CLIA NUMBER - SAV-ON PHARMACY #0183

Laboratory Demographics

  • CLIA Code: 53D1045549
  • Facility Name: SAV-ON PHARMACY #0183
  • Facility Address: 105 BUFFALO WAY
    JACKSON, WY
    ZIP 83002
  • Facility Phone: 307 733-9223
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRENT PEACOCK
  • NPI Number: 1558318915
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 53D1045549
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #0183
Street 105 BUFFALO WAY
City JACKSON
State WY
ZIP 83002
Phone 307 733-9223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Pharmacy
Lab Director BRENT PEACOCK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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