CLIA lab
CLIA 53D2121114: Kimball County Hospital
Pine Bluffs, WY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 53D2121114 belongs to Kimball County Hospital in Pine Bluffs, WY.
Certificate of Waiver, effective October 31, 2024, expires October 30, 2026.
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
- October 31, 2024
- Certificate expiration
- October 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 31, 2016
- Facility type
- Rural health clinic
- Ownership (control type)
- Government, county
- 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
- 53D2121114
- Lab name
- Kimball County Hospital
- Additional name
- DBA Pine Bluffs KHS Health Clinic
- Address
- 117 East 4th Street, Pine Bluffs, WY 82082
- Phone
- (308) 235-1951
- Fax
- (308) 235-1969
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Kimball County Hospital in Pine Bluffs?
53D2121114, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kimball County Hospital hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 53D2121114 expire?
The CMS file lists October 30, 2026 as the certificate expiration date; the certificate took effect October 31, 2024.