CLIA lab
CLIA 53D0922000: Black Hills Surgical Hospital, LLC
Gillette, WY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 53D0922000 belongs to Black Hills Surgical Hospital, LLC in Gillette, WY.
Certificate of Waiver, effective November 12, 2024, expires November 11, 2026.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 12, 2024
- Certificate expiration
- November 11, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 12, 1996
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 53D0922000
- Lab name
- Black Hills Surgical Hospital, LLC
- Additional name
- DBA Sanford Health Black Hills Surgery CTR of Wy
- Address
- 1307 West Third Street, Suite B, Gillette, WY 82716
- Phone
- (307) 686-8283
- Fax
- (307) 686-5764
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Gillette, WY
- A Wyoming Pain Clinic PCCertificate of Waiver, Physician office53D2114603
- Advanced Surgical Care of WyomingCertificate of Waiver, Ambulatory surgery center53D2192695
- Associates in Women's HealthCertificate for Provider-Performed Microscopy Procedures, Physician office53D0520038
- Big Horn Pediatrics PCCertificate of Waiver, Physician office53D0663229
- Black Hills Regional Eye Institute LLPCertificate of Waiver, Other53D2176120
- Campbell County HealthCertificate of Accreditation, Hospital53D0520070
- Campbell County Health Clinics LLCCertificate of Waiver, Community clinic53D2341889
- Campbell County Health Clinics LLCCertificate of Waiver, Community clinic53D2350344
- Campbell County Health DepartmentCertificate of Waiver, Public health laboratory53D2022247
- Campbell County Health Home HealthCertificate of Waiver, Home health agency53D0903718
Related
Questions
What is the CLIA number for Black Hills Surgical Hospital, LLC in Gillette?
53D0922000, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Black Hills Surgical Hospital, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 53D0922000 expire?
The CMS file lists November 11, 2026 as the certificate expiration date; the certificate took effect November 12, 2024.