CLIA lab
CLIA 53D1057028: Summit Ridge Skilled Nursing & Rehabilitation
Douglas, WY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 53D1057028 belongs to Summit Ridge Skilled Nursing & Rehabilitation in Douglas, WY.
Certificate of Waiver, effective August 1, 2026, expires July 31, 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
- August 1, 2026
- Certificate expiration
- July 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 1, 2006
- Facility type
- Skilled nursing or nursing facility
- 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
- 53D1057028
- Lab name
- Summit Ridge Skilled Nursing & Rehabilitation
- Address
- 1108 Birch Street, Douglas, WY 82633
- Phone
- (801) 397-4697
- Fax
- (801) 296-9117
Annual test volume the lab reported
- Waived tests
- 225
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Summit Ridge Skilled Nursing & RehabilitationCMS Care Compare ratings for the facility at the same street address
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- Mend Direct Primary CareCertificate of Waiver, Physician office53D2311551
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Related
Questions
What is the CLIA number for Summit Ridge Skilled Nursing & Rehabilitation in Douglas?
53D1057028, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Summit Ridge Skilled Nursing & Rehabilitation hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 53D1057028 expire?
The CMS file lists July 31, 2028 as the certificate expiration date; the certificate took effect August 1, 2026.