53D2327327 CLIA NUMBER - SUBLETTE COUNTY HOSPITAL DISTRICT DBA

Laboratory Demographics

  • CLIA Code: 53D2327327
  • Facility Name: SUBLETTE COUNTY HOSPITAL DISTRICT DBA
  • Facility Address: 625 E HENNICK ST
    PINEDALE, WY
    ZIP 82941
  • Facility Phone: 307 367-4133
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: SHARON D. RUTSCH
  • NPI Number: 1205420601
  • Taxonomy: 146L00000X - Emergency Medical Technician, Paramedic

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CLIA Record

Field Name Field Value
CLIA Number 53D2327327
LAB Type Community Clinic
Facility Name SUBLETTE COUNTY HOSPITAL DISTRICT DBA
Street 625 E HENNICK ST
City PINEDALE
State WY
ZIP 82941
Phone 307 367-4133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2025
Certificate Expiration Date 7/20/2027
Facility Type Community Clinic
Lab Director SHARON D. RUTSCH

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