CLIA lab
CLIA 53D2141014: Broulims Pharmacy #12-Afton
Afton, WY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 53D2141014 belongs to Broulims Pharmacy #12-Afton in Afton, WY.
Certificate of Waiver, effective February 2, 2026, expires February 1, 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 of Waiver
- Certificate effective
- February 2, 2026
- Certificate expiration
- February 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 5, 2017
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 53D2141014
- Lab name
- Broulims Pharmacy #12-Afton
- Address
- 141 Washington St, Afton, WY 83110
- Phone
- (307) 885-5550
- Fax
- (208) 745-7801
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.
Affiliated CLIA numbers
Other labs in Afton, WY
- Advanced Dermit Cosmetic SurgeryCertificate of Waiver, Physician office53D2332206
- Afton CbocCertificate of Accreditation, Community clinic53D2002606
- Afton Urgent CareCertificate of Waiver, Community clinic53D2156914
- Star Valley Care CenterCertificate of Waiver, Skilled nursing or nursing facility53D2189762
- Star Valley Medical CenterCertificate of Compliance, Hospital53D0666137
- Sterling Urgent CareCertificate of Waiver, Physician office53D2147193
- Symbii Home HealthCertificate of Waiver, Home health agency53D2156221
- Symbii HospiceCertificate of Waiver, Hospice53D2156224
- Teton Dermatology, LLCCertificate of Waiver, Physician office53D2311531
Related
Questions
What is the CLIA number for Broulims Pharmacy #12-Afton in Afton?
53D2141014, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Broulims Pharmacy #12-Afton hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 53D2141014 expire?
The CMS file lists February 1, 2028 as the certificate expiration date; the certificate took effect February 2, 2026.