CLIA lab

CLIA 53D0952972: State of Wyoming Wic Program

Cheyenne, WY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 53D0952972 belongs to State of Wyoming Wic Program in Cheyenne, WY.

Certificate of Waiver, effective October 22, 2026, expires October 21, 2028.

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
October 22, 2026
Certificate expiration
October 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 22, 1998
Facility type
Public health laboratory
Ownership (control type)
Government, state
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
53D0952972
Lab name
State of Wyoming Wic Program
Address
122 W 25th St, 3rd Fl West, Cheyenne, WY 82002
Phone
(307) 777-6009
Fax
(307) 777-5643

Annual test volume the lab reported

Waived tests
6,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Cheyenne, WY

Related

Questions

What is the CLIA number for State of Wyoming Wic Program in Cheyenne?

53D0952972, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does State of Wyoming Wic Program hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 53D0952972 expire?

The CMS file lists October 21, 2028 as the certificate expiration date; the certificate took effect October 22, 2026.

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