53D2106190 CLIA NUMBER - ASPEN MOUNTAIN MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 53D2106190
  • Facility Name: ASPEN MOUNTAIN MEDICAL CENTER
  • Facility Address: 4401 COLLEGE DRIVE
    ROCK SPRINGS, WY
    ZIP 82901
  • Facility Phone: 307 352-6940
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: NYASHA O. BULLOCK
  • NPI Number: 1932766706
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 53D2106190
LAB Type Hospital
Facility Name ASPEN MOUNTAIN MEDICAL CENTER
Street 4401 COLLEGE DRIVE
City ROCK SPRINGS
State WY
ZIP 82901
Phone 307 352-6940
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Hospital
Lab Director NYASHA O. BULLOCK

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