CLIA lab

CLIA 53D2325098: Grand Ave Family Medicine, LLC

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

CLIA number 53D2325098 belongs to Grand Ave Family Medicine, LLC in Laramie, WY.

Certificate of Waiver, effective June 6, 2025, expires June 5, 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
June 6, 2025
Certificate expiration
June 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 6, 2025
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
53D2325098
Lab name
Grand Ave Family Medicine, LLC
Address
3236 East Grand Ave, Suite I, Laramie, WY 82070
Phone
(307) 760-8602
Fax
(307) 288-6065

Annual test volume the lab reported

Waived tests
3,000

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

Other labs in Laramie, WY

Related

Questions

What is the CLIA number for Grand Ave Family Medicine, LLC in Laramie?

53D2325098, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Grand Ave Family Medicine, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 53D2325098 expire?

The CMS file lists June 5, 2027 as the certificate expiration date; the certificate took effect June 6, 2025.

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