53D2031241 CLIA NUMBER - COMMUNITY HEALTH CENTER OF CENTRAL WY-RIVERTON

Laboratory Demographics

  • CLIA Code: 53D2031241
  • Facility Name: COMMUNITY HEALTH CENTER OF CENTRAL WY-RIVERTON
  • Facility Address: 1035 ROSE LANE
    RIVERTON, WY
    ZIP 82501
  • Facility Phone: 307 463-7160
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DANIEL BENDER
  • NPI Number: 1760615090
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 53D2031241
LAB Type Federally Qualified Health Center
Facility Name COMMUNITY HEALTH CENTER OF CENTRAL WY-RIVERTON
Street 1035 ROSE LANE
City RIVERTON
State WY
ZIP 82501
Phone 307 463-7160
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 10/17/2023
Certificate Expiration Date 10/16/2025
Facility Type Federally Qualified Health Center
Lab Director DANIEL BENDER

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