CLIA lab
CLIA 52D0393851: Gundersen Boscobel Area Hospital & Clinics
Fennimore, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0393851 belongs to Gundersen Boscobel Area Hospital & Clinics in Fennimore, WI.
Certificate of Waiver, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 5, 1995
- 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
- 52D0393851
- Lab name
- Gundersen Boscobel Area Hospital & Clinics
- Additional name
- Fennimore Clinic
- Address
- 220 Lincoln Ave, Fennimore, WI 53809
- Phone
- (608) 822-3737
- Fax
- (608) 822-3738
Annual test volume the lab reported
- Waived tests
- 1,000
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 Gundersen Boscobel Area Hospital & Clinics in Fennimore?
52D0393851, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gundersen Boscobel Area Hospital & Clinics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0393851 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.