CLIA lab

CLIA 52D0391416: Charles J Waisbren MD

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

CLIA number 52D0391416 belongs to Charles J Waisbren MD in Wauwatosa, WI.

Certificate of Accreditation, effective June 24, 2026, expires June 23, 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 Accreditation
Certificate effective
June 24, 2026
Certificate expiration
June 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Accrediting organizations
COLA

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
52D0391416
Lab name
Charles J Waisbren MD
Address
201 N Mayfair Rd, Suite 510, Wauwatosa, WI 53226
Phone
(414) 771-5900
Fax
(414) 771-4908

Annual test volume the lab reported

Waived tests
4,000
Tests under accreditation
63,000
Total
67,000

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

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Related

Questions

What is the CLIA number for Charles J Waisbren MD in Wauwatosa?

52D0391416, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Charles J Waisbren MD hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 52D0391416 expire?

The CMS file lists June 23, 2028 as the certificate expiration date; the certificate took effect June 24, 2026.

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