CLIA lab
CLIA 53D2092856: Jordan Valley Dermatology
Casper, WY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 53D2092856 belongs to Jordan Valley Dermatology in Casper, WY.
Certificate of Waiver, effective March 16, 2025, expires March 15, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 16, 2025
- Certificate expiration
- March 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 16, 2015
- 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
- 53D2092856
- Lab name
- Jordan Valley Dermatology
- Address
- 428 South Durbin Suite 103, Casper, WY 82601
- Phone
- (307) 265-2936
- Fax
- (307) 265-6575
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 Casper, WY
- 307 Pediatrics LLCCertificate of Waiver, Physician office53D2304339
- Banner Health Physicians West LLCCertificate of Waiver, Physician office53D0925425
- Banner Health Physicians West LLCCertificate for Provider-Performed Microscopy Procedures, Physician office53D2039661
- Banner Health Physicians West LLCCertificate of Waiver, Physician office53D2099145
- Bicycle Health Medical Group- WyomingCertificate of Waiver, Physician office53D2307270
- Broad Reach Health and WellnessCertificate of Waiver, Health maintenance organization53D2284587
- Caringedge Home Health & HospiceCertificate of Waiver, Home health agency53D2152624
- Casper CbocCertificate of Accreditation, Community clinic53D1014073
- Casper DermatologyCertificate of Compliance, Physician office53D0666054
- Casper General SurgeryCertificate for Provider-Performed Microscopy Procedures, Physician office53D2214949
Related
Questions
What is the CLIA number for Jordan Valley Dermatology in Casper?
53D2092856, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jordan Valley Dermatology hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 53D2092856 expire?
The CMS file lists March 15, 2027 as the certificate expiration date; the certificate took effect March 16, 2025.