53D2018032 CLIA NUMBER - YELLOWSTONE ALF OPERATIONS LCC DBA/ABSAROKA SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 53D2018032
  • Facility Name: YELLOWSTONE ALF OPERATIONS LCC DBA/ABSAROKA SENIOR LIVING
  • Facility Address: 2401 COUGAR AVENUE
    CODY, WY
    ZIP 82414
  • Facility Phone: (307) 204-4867
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: KALLI J. OBEROSLER
  • NPI Number: 1982346417
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 53D2018032
LAB Type Assisted Living Facility
Facility Name YELLOWSTONE ALF OPERATIONS LCC DBA/ABSAROKA SENIOR LIVING
Street 2401 COUGAR AVENUE
City CODY
State WY
ZIP 82414
Phone 3072044867
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/1/2025
Certificate Expiration Date 6/30/2027
Facility Type Assisted Living Facility
Lab Director KALLI J. OBEROSLER

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This page was last updated on: 5/18/2026