CLIA lab
CLIA 53D2298474: Broulims Pharmacy #4 - Thayne
Thayne, WY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 53D2298474 belongs to Broulims Pharmacy #4 - Thayne in Thayne, WY.
Certificate of Waiver, effective February 2, 2026, expires February 1, 2028.
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
- February 2, 2026
- Certificate expiration
- February 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 2, 2024
- Facility type
- Pharmacy
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 53D2298474
- Lab name
- Broulims Pharmacy #4 - Thayne
- Address
- 118 Petersen Pkwy, Thayne, WY 83127
- Phone
- (307) 883-6337
- Fax
- (208) 745-7801
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Thayne, WY
Related
Questions
What is the CLIA number for Broulims Pharmacy #4 - Thayne in Thayne?
53D2298474, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Broulims Pharmacy #4 - Thayne hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 53D2298474 expire?
The CMS file lists February 1, 2028 as the certificate expiration date; the certificate took effect February 2, 2026.