53D1045550 CLIA NUMBER - SAV-ON PHARMACY #3342

Laboratory Demographics

  • CLIA Code: 53D1045550
  • Facility Name: SAV-ON PHARMACY #3342
  • Facility Address: 1323 DEWAR DR
    ROCK SPRINGS, WY
    ZIP 82901
  • Facility Phone: 307 362-9734
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: JACO FORNENGO
  • NPI Number: 1649226564
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 53D1045550
LAB Type Pharmacy
Facility Name SAV-ON PHARMACY #3342
Street 1323 DEWAR DR
City ROCK SPRINGS
State WY
ZIP 82901
Phone 307 362-9734
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 JACO FORNENGO

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