53D2181741 CLIA NUMBER - HOSPITAL PHARMACY WEST

Laboratory Demographics

  • CLIA Code: 53D2181741
  • Facility Name: HOSPITAL PHARMACY WEST
  • Facility Address: 1333 W 5TH STREET, STE 107
    SHERIDAN, WY
    ZIP 82801
  • Facility Phone: 307 673-3188
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: MATTHEW J. MEYER
  • NPI Number: 1588892095
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 53D2181741
LAB Type Pharmacy
Facility Name HOSPITAL PHARMACY WEST
Street 1333 W 5TH STREET, STE 107
City SHERIDAN
State WY
ZIP 82801
Phone 307 673-3188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Pharmacy
Lab Director MATTHEW J. MEYER

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