CLIA lab

CLIA 53D2027136: Goose Creek Family Practice, PC

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

CLIA number 53D2027136 belongs to Goose Creek Family Practice, PC in Sheridan, WY.

Certificate of Waiver, effective January 30, 2025, expires January 29, 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
January 30, 2025
Certificate expiration
January 29, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 19, 2011
Facility type
Other practitioner
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
53D2027136
Lab name
Goose Creek Family Practice, PC
Address
304 Coffeen Avenue, Suite A, Sheridan, WY 82801
Phone
(307) 674-1744
Fax
(307) 674-1752

Annual test volume the lab reported

Waived tests
50

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

Other labs in Sheridan, WY

Related

Questions

What is the CLIA number for Goose Creek Family Practice, PC in Sheridan?

53D2027136, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Goose Creek Family Practice, PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 53D2027136 expire?

The CMS file lists January 29, 2027 as the certificate expiration date; the certificate took effect January 30, 2025.

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