CLIA lab
CLIA 53D2203437: Jackson Pediatric Associates LLC
Jackson, WY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 53D2203437 belongs to Jackson Pediatric Associates LLC in Jackson, WY.
Certificate of Waiver, effective December 3, 2024, expires December 2, 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
- December 3, 2024
- Certificate expiration
- December 2, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 3, 2020
- Facility type
- Physician office
- 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
- 53D2203437
- Lab name
- Jackson Pediatric Associates LLC
- Address
- 505 E Broadway Ave, Jackson, WY 83001
- Phone
- (307) 733-4627
- Fax
- (307) 733-5184
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jackson, WY
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- Expansion HealthCertificate of Waiver, Other practitioner53D2333607
- Family Practice AssociatesCertificate for Provider-Performed Microscopy Procedures, Physician office53D0520209
- Gros Ventre Ob/Gyn, LLPCertificate for Provider-Performed Microscopy Procedures, Physician office53D2038409
- ST John's Family Health and Urgent CareCertificate of Waiver, Physician office53D0910380
- ST John's HealthCertificate for Provider-Performed Microscopy Procedures, Community clinic53D2334330
- ST John's Home CareCertificate of Waiver, Home health agency53D0903721
- ST John's Internal MedicineCertificate of Waiver, Physician office53D0666261
- ST John's UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office53D1031726
- ST Johns Family Health & Urgent Care West BroadwayCertificate of Waiver, Physician office53D0666667
Related
Questions
What is the CLIA number for Jackson Pediatric Associates LLC in Jackson?
53D2203437, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jackson Pediatric Associates LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 53D2203437 expire?
The CMS file lists December 2, 2026 as the certificate expiration date; the certificate took effect December 3, 2024.