CLIA lab
CLIA 52D0040298: Thedacare Physicians Wild Rose
Wild Rose, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0040298 belongs to Thedacare Physicians Wild Rose in Wild Rose, WI.
Certificate of Waiver, effective December 23, 2025, expires December 22, 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
- December 23, 2025
- Certificate expiration
- December 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D0040298
- Lab name
- Thedacare Physicians Wild Rose
- Address
- 701 Grove Ave, Wild Rose, WI 54984
- Phone
- (920) 622-3254
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Wild Rose, WI
Related
Questions
What is the CLIA number for Thedacare Physicians Wild Rose in Wild Rose?
52D0040298, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Thedacare Physicians Wild Rose hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0040298 expire?
The CMS file lists December 22, 2027 as the certificate expiration date; the certificate took effect December 23, 2025.