CLIA lab

CLIA 52D0394085: Gundersen Moundview Family Clinic

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

CLIA number 52D0394085 belongs to Gundersen Moundview Family Clinic in Friendship, WI.

Certificate of Waiver, effective September 26, 2025, expires September 25, 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
September 26, 2025
Certificate expiration
September 25, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Rural health clinic
Ownership (control type)
Other
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
52D0394085
Lab name
Gundersen Moundview Family Clinic
Address
402 W Lake St, Friendship, WI 53934
Phone
(608) 339-6350
Fax
(608) 339-6975

Annual test volume the lab reported

Waived tests
1,620

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

Other labs in Friendship, WI

Related

Questions

What is the CLIA number for Gundersen Moundview Family Clinic in Friendship?

52D0394085, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Gundersen Moundview Family Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D0394085 expire?

The CMS file lists September 25, 2027 as the certificate expiration date; the certificate took effect September 26, 2025.

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