CLIA lab

CLIA 53D2038409: Gros Ventre Ob/Gyn, LLP

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

CLIA number 53D2038409 belongs to Gros Ventre Ob/Gyn, LLP in Jackson, WY.

Certificate for Provider-Performed Microscopy Procedures, effective March 20, 2026, expires March 19, 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 for Provider-Performed Microscopy Procedures
Certificate effective
March 20, 2026
Certificate expiration
March 19, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
March 20, 2012
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
53D2038409
Lab name
Gros Ventre Ob/Gyn, LLP
Address
555 East Broadway, Suite 108, Jackson, WY 83001
Phone
(307) 734-1005
Fax
(307) 734-1165

Annual test volume the lab reported

Waived tests
853
Provider-performed microscopy tests
41
Total
894

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

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Related

Questions

What is the CLIA number for Gros Ventre Ob/Gyn, LLP in Jackson?

53D2038409, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Gros Ventre Ob/Gyn, LLP hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 53D2038409 expire?

The CMS file lists March 19, 2028 as the certificate expiration date; the certificate took effect March 20, 2026.

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