CLIA lab
CLIA 53D2203563: Pole Mountain Pharmacy
Laramie, WY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 53D2203563 belongs to Pole Mountain Pharmacy in Laramie, WY.
Certificate of Waiver, effective December 4, 2024, expires December 3, 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 4, 2024
- Certificate expiration
- December 3, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 4, 2020
- Facility type
- Pharmacy
- 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
- 53D2203563
- Lab name
- Pole Mountain Pharmacy
- Address
- 319 E Harney Street, Laramie, WY 82072
- Phone
- (307) 460-4080
- Fax
- (307) 460-4082
Annual test volume the lab reported
- Waived tests
- 56
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Pole Mountain Pharmacy in Laramie?
53D2203563, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pole Mountain Pharmacy hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 53D2203563 expire?
The CMS file lists December 3, 2026 as the certificate expiration date; the certificate took effect December 4, 2024.