CLIA lab
CLIA 53D1038865: Western Wyoming Dermatology
Jackson, WY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 53D1038865 belongs to Western Wyoming Dermatology in Jackson, WY.
Certificate of Compliance, effective November 28, 2024, expires November 27, 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 Compliance
- Certificate effective
- November 28, 2024
- Certificate expiration
- November 27, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 29, 2005
- Facility type
- Physician office
- 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
- 53D1038865
- Lab name
- Western Wyoming Dermatology
- Address
- 250 Veronica Ln Ste 201, Jackson, WY 83001
- Phone
- (407) 284-3407
- Fax
- (407) 284-3407
Annual test volume the lab reported
- Waived tests
- 420
- Other nonwaived tests
- 500
- Total
- 920
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Gros Ventre Ob/Gyn, LLPCertificate for Provider-Performed Microscopy Procedures, Physician office53D2038409
- Jackson Pediatric Associates LLCCertificate of Waiver, Physician office53D2203437
- ST John's Family Health and Urgent CareCertificate of Waiver, Physician office53D0910380
- ST John's HealthCertificate for Provider-Performed Microscopy Procedures, Community clinic53D2334330
- ST John's Home CareCertificate of Waiver, Home health agency53D0903721
- ST John's Internal MedicineCertificate of Waiver, Physician office53D0666261
- ST John's UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office53D1031726
Related
Questions
What is the CLIA number for Western Wyoming Dermatology in Jackson?
53D1038865, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Western Wyoming Dermatology hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 53D1038865 expire?
The CMS file lists November 27, 2026 as the certificate expiration date; the certificate took effect November 28, 2024.