53D2254088 CLIA NUMBER - CAMBRIA HEIGHTS LLC DBA MONDELL RETIREMENT COMMUN

Laboratory Demographics

CLIA Number: 53D2254088

Facility Name: CAMBRIA HEIGHTS LLC DBA MONDELL RETIREMENT COMMUN

Facility Address:
106 E MAIN ST
NEWCASTLE, WY
ZIP 82701
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Facility Phone Number: 307 628-4273

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1952064313

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	53D2254088
LAB Type	Assisted Living Facility
Facility Name	CAMBRIA HEIGHTS LLC DBA MONDELL RETIREMENT COMMUN
Street	106 E MAIN ST
City	NEWCASTLE
State	WY
ZIP	82701
Phone	307 628-4273
CertificateType	4
CertificateEffectiveDate	2/29/2024
CertificateExpirationDate	2/27/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024