CLIA lab

CLIA 53D2199403: Mission at the Villa

Green River, WY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 53D2199403 belongs to Mission at the Villa in Green River, WY.

Certificate of Waiver, effective November 9, 2024, expires November 8, 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
November 9, 2024
Certificate expiration
November 8, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 9, 2020
Facility type
Assisted living facility
Ownership (control type)
Private
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
53D2199403
Lab name
Mission at the Villa
Address
1445 Uinta Drive, Green River, WY 82935
Phone
(307) 872-4600
Fax
(307) 872-4669

Annual test volume the lab reported

Waived tests
400

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Green River, WY

Related

Questions

What is the CLIA number for Mission at the Villa in Green River?

53D2199403, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mission at the Villa hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 53D2199403 expire?

The CMS file lists November 8, 2026 as the certificate expiration date; the certificate took effect November 9, 2024.

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