53D2023900 CLIA NUMBER - HEART MOUNTAIN CRISIS PREGNANCY CENTER DBA/SERENITY PRC

Laboratory Demographics

  • CLIA Code: 53D2023900
  • Facility Name: HEART MOUNTAIN CRISIS PREGNANCY CENTER DBA/SERENITY PRC
  • Facility Address: 1826 STAMPEDE AVE
    CODY, WY
    ZIP 82414
  • Facility Phone: 307 213-5025
  • Facility Type: Other - PREGNANCY CENTER
  • Facility Type: Waiver
  • Lab Director: TONYA BARTHOLOMEW
  • NPI Number: 1043694565
  • Taxonomy: 261QD0000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 53D2023900
LAB Type Other - PREGNANCY CENTER
Facility Name HEART MOUNTAIN CRISIS PREGNANCY CENTER DBA/SERENITY PRC
Street 1826 STAMPEDE AVE
City CODY
State WY
ZIP 82414
Phone 307 213-5025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/4/2025
Certificate Expiration Date 5/3/2027
Facility Type Other - PREGNANCY CENTER
Lab Director TONYA BARTHOLOMEW

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