53D2016682 CLIA NUMBER - CHEYENNE FIRE & RESCUE

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Laboratory Demographics

CLIA Number: 53D2016682

Facility Name: CHEYENNE FIRE & RESCUE

Facility Address:
2101 O'NEILL SUITE 304
CHEYENNE, WY
ZIP 82001
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Facility Phone Number: 307 637-6311

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1174915342

Taxonomy: 286500000X - Military Hospital
A health care facility operated by the Department of Defense.

CLIA Record

Field Name	Field Value
CLIA Number	53D2016682
LAB Type	Ambulance
Facility Name	CHEYENNE FIRE & RESCUE
Street	2101 O'NEILL SUITE 304
City	CHEYENNE
State	WY
ZIP	82001
Phone	307 637-6311
CertificateType	4
CertificateEffectiveDate	11/22/2022
CertificateExpirationDate	11/21/2024
FacilityType	Waiver

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