CLIA lab
CLIA 52D0393240: SSM Health Dean Medical Group - Waterloo
Waterloo, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0393240 belongs to SSM Health Dean Medical Group - Waterloo in Waterloo, WI.
Certificate of Waiver, effective December 27, 2024, expires December 26, 2026.
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 27, 2024
- Certificate expiration
- December 26, 2026
- 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
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D0393240
- Lab name
- SSM Health Dean Medical Group - Waterloo
- Address
- 105 Highland Ter, Waterloo, WI 53594
- Phone
- (920) 478-2141
- Fax
- (920) 478-3820
Annual test volume the lab reported
- Waived tests
- 97
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 SSM Health Dean Medical Group - Waterloo in Waterloo?
52D0393240, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does SSM Health Dean Medical Group - Waterloo hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0393240 expire?
The CMS file lists December 26, 2026 as the certificate expiration date; the certificate took effect December 27, 2024.