CLIA lab

CLIA 53D2239278: Teton Free Clinic

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

CLIA number 53D2239278 belongs to Teton Free Clinic in Jackson, WY.

Certificate of Waiver, effective October 11, 2025, expires October 10, 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
October 11, 2025
Certificate expiration
October 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 11, 2021
Facility type
Community clinic
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
53D2239278
Lab name
Teton Free Clinic
Address
505 East Broadway, Jackson, WY 83001
Phone
(307) 739-7492
Fax
(307) 316-8804

Annual test volume the lab reported

Waived tests
500

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

Other labs in Jackson, WY

Related

Questions

What is the CLIA number for Teton Free Clinic in Jackson?

53D2239278, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Teton Free Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 53D2239278 expire?

The CMS file lists October 10, 2027 as the certificate expiration date; the certificate took effect October 11, 2025.

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