CLIA lab
CLIA 53D1096282: Southwest Wyoming ENT, Inc
Evanston, WY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 53D1096282 belongs to Southwest Wyoming ENT, Inc in Evanston, WY.
Certificate of Waiver, effective March 2, 2025, expires March 1, 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
- March 2, 2025
- Certificate expiration
- March 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 2, 2009
- 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
- 53D1096282
- Lab name
- Southwest Wyoming ENT, Inc
- Address
- 191 Overthrust Rd, Evanston, WY 82930
- Phone
- (307) 789-8721
- Fax
- (307) 789-8664
Annual test volume the lab reported
- Waived tests
- 60
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Arrowhead Family Medicine, LLCCertificate of Waiver, Rural health clinic53D2151458
- Carver Family HealthCertificate of Waiver, Physician office53D2032785
- City DrugCertificate of Waiver, Pharmacy53D2189205
- Draper DermatologyCertificate of Waiver, Physician office53D2315436
- Evanston Clinic CorpCertificate of Waiver, Physician office53D0951953
- Evanston Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility53D1019796
- Evanston Foot and AnkleCertificate of Waiver, Physician office53D2064453
- Evanston Regional HospitalCertificate of Accreditation, Hospital53D0662202
- Evanston VA Outreach ClinicCertificate of Accreditation, Rural health clinic53D2012184
- Health West EvanstonCertificate for Provider-Performed Microscopy Procedures, Federally qualified health center53D2295008
Related
Questions
What is the CLIA number for Southwest Wyoming ENT, Inc in Evanston?
53D1096282, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southwest Wyoming ENT, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 53D1096282 expire?
The CMS file lists March 1, 2027 as the certificate expiration date; the certificate took effect March 2, 2025.