53D2121114 CLIA NUMBER - KIMBALL COUNTY HOSPITAL DBA PINE BLUFFS KHS HEALTH CLINIC

Laboratory Demographics

  • CLIA Code: 53D2121114
  • Facility Name: KIMBALL COUNTY HOSPITAL DBA PINE BLUFFS KHS HEALTH CLINIC
  • Facility Address: 117 EAST 4TH STREET
    PINE BLUFFS, WY
    ZIP 82082
  • Facility Phone: 308 235-1951
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: JENNIFER L. GREENWOOD
  • NPI Number: 1255761631
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 53D2121114
LAB Type Rural Health Clinic
Facility Name KIMBALL COUNTY HOSPITAL DBA PINE BLUFFS KHS HEALTH CLINIC
Street 117 EAST 4TH STREET
City PINE BLUFFS
State WY
ZIP 82082
Phone 308 235-1951
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Rural Health Clinic
Lab Director JENNIFER L. GREENWOOD

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