CLIA lab

CLIA 52D0394456: Menominee Tribal Clinic

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

CLIA number 52D0394456 belongs to Menominee Tribal Clinic in Keshena, WI.

Certificate of Accreditation, effective January 13, 2025, expires January 12, 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 Accreditation
Certificate effective
January 13, 2025
Certificate expiration
January 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Federally qualified health center
Ownership (control type)
Government, other
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
52D0394456
Lab name
Menominee Tribal Clinic
Address
W3275 Wolf River Rd, PO Box 970, Keshena, WI 54135
Phone
(715) 799-3361
Fax
(715) 799-3099

Annual test volume the lab reported

Waived tests
1,909
Tests under accreditation
44,991
Total
46,900

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

Related

Questions

What is the CLIA number for Menominee Tribal Clinic in Keshena?

52D0394456, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Menominee Tribal Clinic hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 52D0394456 expire?

The CMS file lists January 12, 2027 as the certificate expiration date; the certificate took effect January 13, 2025.

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