CLIA lab
CLIA 53D2167812: Stillwater Hospice of Northern Wyoming
Powell, WY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 53D2167812 belongs to Stillwater Hospice of Northern Wyoming in Powell, WY.
Certificate of Waiver, effective June 17, 2025, expires June 16, 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
- June 17, 2025
- Certificate expiration
- June 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 17, 2019
- Facility type
- Hospice
- 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
- 53D2167812
- Lab name
- Stillwater Hospice of Northern Wyoming
- Address
- 210 N Bent Street, Powell, WY 82435
- Phone
- (307) 548-1750
- Fax
- (307) 548-2088
Annual test volume the lab reported
- Waived tests
- 12
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Stillwater Hospice of Northern Wyoming LLCCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Stillwater Hospice of Northern Wyoming in Powell?
53D2167812, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Stillwater Hospice of Northern Wyoming hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 53D2167812 expire?
The CMS file lists June 16, 2027 as the certificate expiration date; the certificate took effect June 17, 2025.