CLIA lab
CLIA 52D0394594: Evergreen Health Services
Shawano, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0394594 belongs to Evergreen Health Services in Shawano, 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
- December 15, 1992
- Facility type
- Skilled nursing or nursing facility
- 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
- 52D0394594
- Lab name
- Evergreen Health Services
- Address
- 1250 S Evergreen St, Shawano, WI 54166
- Phone
- (715) 526-3107
- Fax
- (715) 524-8037
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- Cottages Memory Care, theCertificate of Waiver, Assisted living facility52D2048514
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- Forefront Dermatology, SCCertificate for Provider-Performed Microscopy Procedures, Physician office52D2023671
- Fresenius Medical Care ShawanoCertificate of Waiver, End stage renal disease dialysis facility52D2013009
- Prevea Shawano Health Center - LabCertificate of Accreditation, Physician office52D2145550
- Sam 25 Community Health ClinicCertificate of Waiver, Community clinic52D2241947
- Shawano Ambulance ServiceCertificate of Waiver, Ambulance52D1059007
- Shawano County JailCertificate of Waiver, Other52D2079879
Related
Questions
What is the CLIA number for Evergreen Health Services in Shawano?
52D0394594, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Evergreen Health Services hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0394594 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.