53D2145487 CLIA NUMBER - CROSSROADS HEALTH LLC

Laboratory Demographics

  • CLIA Code: 53D2145487
  • Facility Name: CROSSROADS HEALTH LLC
  • Facility Address: 1156 NORTH MAIN STREET
    SHERIDAN, WY
    ZIP 82801
  • Facility Phone: 307 751-0645
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WENDY WOOD NEESON
  • NPI Number: 1730636812
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 53D2145487
LAB Type Physician Office
Facility Name CROSSROADS HEALTH LLC
Street 1156 NORTH MAIN STREET
City SHERIDAN
State WY
ZIP 82801
Phone 307 751-0645
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2024
Certificate Expiration Date 3/7/2026
Facility Type Physician Office
Lab Director WENDY WOOD NEESON

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