CLIA lab
CLIA 53D2161114: Summit Memorial Medical Group LLC
Casper, WY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 53D2161114 belongs to Summit Memorial Medical Group LLC in Casper, WY.
Certificate of Waiver, effective January 28, 2025, expires January 27, 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 28, 2025
- Certificate expiration
- January 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 28, 2019
- Facility type
- Physician office
- 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
- 53D2161114
- Lab name
- Summit Memorial Medical Group LLC
- Address
- 3230 Cy Avenue, Casper, WY 82604
- Phone
- (307) 577-5100
- Fax
- (307) 265-3640
Annual test volume the lab reported
- Waived tests
- 2,000
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 Summit Memorial Medical Group LLC in Casper?
53D2161114, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Summit Memorial Medical Group LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 53D2161114 expire?
The CMS file lists January 27, 2027 as the certificate expiration date; the certificate took effect January 28, 2025.