CLIA lab
CLIA 52D0392916: Fort Healthcare Jefferson
Jefferson, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0392916 belongs to Fort Healthcare Jefferson in Jefferson, WI.
Certificate for Provider-Performed Microscopy Procedures, effective September 1, 2026, expires August 31, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 23, 1992
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 52D0392916
- Lab name
- Fort Healthcare Jefferson
- Address
- 840 W Racine Ave, Jefferson, WI 53549
- Phone
- (920) 674-6000
- Fax
- (920) 674-3034
Annual test volume the lab reported
- Waived tests
- 17,042
- Provider-performed microscopy tests
- 20
- Total
- 17,062
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jefferson, WI
- Alden Estates of Countryside, IncCertificate of Waiver, Skilled nursing or nursing facility52D0392917
- Dimensions Living of JeffersonCertificate of Waiver, Assisted living facility52D1053066
- Jefferson County Health Department and WicCertificate of Waiver, Public health laboratory52D0392920
- Jefferson County JailCertificate of Waiver, Other52D2208546
- Jefferson EMSCertificate of Waiver, Ambulance52D0989084
- Jefferson Memory CareCertificate of Waiver, Assisted living facility52D2116154
- Mueller Drugs, IncCertificate of Waiver, Pharmacy52D2185523
- Rainbow Hospice Care IncCertificate of Waiver, Hospice52D0922533
- ST Coletta of WisconsinCertificate of Waiver, Assisted living facility52D2018045
- Unify Health ServicesCertificate of Waiver, Industrial52D2178877
Related
Questions
What is the CLIA number for Fort Healthcare Jefferson in Jefferson?
52D0392916, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fort Healthcare Jefferson hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 52D0392916 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.