CLIA lab
CLIA 52D0395366: Antigo Medical Building
Antigo, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0395366 belongs to Antigo Medical Building in Antigo, WI.
Certificate of Waiver, effective November 25, 2024, expires November 24, 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
- November 25, 2024
- Certificate expiration
- November 24, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Rural health clinic
- 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
- 52D0395366
- Lab name
- Antigo Medical Building
- Address
- 1111 Langlade Rd, Antigo, WI 54409
- Phone
- (715) 623-3761
- Fax
- (715) 623-3764
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Antigo, WI
- Anovia Health, SC - AntigoCertificate of Waiver, Community clinic52D2271263
- Aspirus Langlade HospitalCertificate of Accreditation, Hospital52D0395375
- Aspirus Langlade Rosalia GardensCertificate of Waiver, Assisted living facility52D2197828
- Bay at Garden View Assisted Living Center, theCertificate of Waiver, Assisted living facility52D2194337
- Care Partners Assisted LivingCertificate of Waiver, Assisted living facility52D1017942
- Care Partners Assisted LivingCertificate of Waiver, Assisted living facility52D1087760
- City of Antigo Fire DepartmentCertificate of Waiver, Ambulance52D0985967
- Eastview Medical and Rehabilitation CenterCertificate of Waiver, Skilled nursing or nursing facility52D0395370
- Evergreen Terrace LLCCertificate of Waiver, Assisted living facility52D0983938
- Langlade County Health DeptCertificate of Waiver, Public health laboratory52D0395374
Related
Questions
What is the CLIA number for Antigo Medical Building in Antigo?
52D0395366, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Antigo Medical Building hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0395366 expire?
The CMS file lists November 24, 2026 as the certificate expiration date; the certificate took effect November 25, 2024.