53D2012500 CLIA NUMBER - SHERIDAN SURGICAL CENTER

Home > CLIA Lookup > 53D2012500

Laboratory Demographics

CLIA Number: 53D2012500

Facility Name: SHERIDAN SURGICAL CENTER

Facility Address:
1524 W 5TH STREET
SHERIDAN, WY
ZIP 82801
Get Directions

Facility Phone Number: 307 672-7874

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1336202704

Taxonomy: 261QA1903X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	53D2012500
LAB Type	Ambulatory Surgery Center
Facility Name	SHERIDAN SURGICAL CENTER
Street	1524 W 5TH STREET
City	SHERIDAN
State	WY
ZIP	82801
Phone	307 672-7874
CertificateType	4
CertificateEffectiveDate	9/3/2022
CertificateExpirationDate	9/2/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024