53D2257665 CLIA NUMBER - CHWY PARTNERS, LLC DBA US RENAL CARE CHEYENNE DIALYSIS

Laboratory Demographics

  • CLIA Code: 53D2257665
  • Facility Name: CHWY PARTNERS, LLC DBA US RENAL CARE CHEYENNE DIALYSIS
  • Facility Address: 1760 PRAIRIE AVE, STE 102
    CHEYENNE, WY
    ZIP 82009
  • Facility Phone: 307 213-7679
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: TIMOTHY GOVAERTS
  • NPI Number: 1902552789
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 53D2257665
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CHWY PARTNERS, LLC DBA US RENAL CARE CHEYENNE DIALYSIS
Street 1760 PRAIRIE AVE, STE 102
City CHEYENNE
State WY
ZIP 82009
Phone 307 213-7679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2024
Certificate Expiration Date 4/7/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director TIMOTHY GOVAERTS

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