CLIA lab
CLIA 53D1017128: Powder River Surgery Center
Gillette, WY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 53D1017128 belongs to Powder River Surgery Center in Gillette, WY.
Certificate of Waiver, effective September 17, 2025, expires September 16, 2027.
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
- September 17, 2025
- Certificate expiration
- September 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 17, 2003
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Proprietary
- 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
- 53D1017128
- Lab name
- Powder River Surgery Center
- Address
- 906 West 6th Street Suite C, Gillette, WY 82716
- Phone
- (307) 696-8240
- Fax
- (307) 682-3432
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Gillette, WY
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- 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
- Black Hills Surgical Hospital, LLCCertificate of Waiver, Ambulatory surgery center53D0922000
- 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
Related
Questions
What is the CLIA number for Powder River Surgery Center in Gillette?
53D1017128, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Powder River Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 53D1017128 expire?
The CMS file lists September 16, 2027 as the certificate expiration date; the certificate took effect September 17, 2025.