CLIA lab
CLIA 53D2341159: Summit Ridge Assisted Living and Memory Care
Douglas, WY. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 53D2341159 belongs to Summit Ridge Assisted Living and Memory Care in Douglas, WY.
Certificate of Waiver, effective March 27, 2026, expires March 26, 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
- March 27, 2026
- Certificate expiration
- March 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 27, 2026
- Facility type
- Assisted living facility
- 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
- 53D2341159
- Lab name
- Summit Ridge Assisted Living and Memory Care
- Address
- 1110 Birch Street, Douglas, WY 82633
- Phone
- (801) 397-4697
- Fax
- (801) 296-9117
Annual test volume the lab reported
- Waived tests
- 15
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Douglas, WY
- Converse County Public HealthCertificate for Provider-Performed Microscopy Procedures, Public health laboratory53D2047894
- Forefront Dermatology, SC DBA Casper DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office53D2350502
- Memorial Hospital of Converse CountyCertificate of Accreditation, Hospital53D0662194
- Memorial Hospital of Converse County MedicalCertificate of Accreditation, Physician office53D2161638
- Mend Direct Primary CareCertificate of Waiver, Physician office53D2311551
- Safeway Pharmacy #0467Certificate of Waiver, Pharmacy53D2075006
- Summit Ridge Skilled Nursing & RehabilitationCertificate of Waiver, Skilled nursing or nursing facility53D1057028
Related
Questions
What is the CLIA number for Summit Ridge Assisted Living and Memory Care in Douglas?
53D2341159, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Summit Ridge Assisted Living and Memory Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 53D2341159 expire?
The CMS file lists March 26, 2028 as the certificate expiration date; the certificate took effect March 27, 2026.