53D2195190 CLIA NUMBER - EMG CHEYENNE AW LLC

Laboratory Demographics

  • CLIA Code: 53D2195190
  • Facility Name: EMG CHEYENNE AW LLC
  • Facility Address: 4010 N COLLEGE DR
    CHEYENNE, WY
    ZIP 82001
  • Facility Phone: 307 778-9511
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SARAH SORENSON
  • NPI Number: 1154652220
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 53D2195190
LAB Type Assisted Living Facility
Facility Name EMG CHEYENNE AW LLC
Street 4010 N COLLEGE DR
City CHEYENNE
State WY
ZIP 82001
Phone 307 778-9511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Assisted Living Facility
Lab Director SARAH SORENSON

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