CLIA lab
CLIA 52D0396816: Gundersen Tri County Hospital and Clinics
Independence, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0396816 belongs to Gundersen Tri County Hospital and Clinics in Independence, WI.
Certificate of Waiver, effective February 28, 2026, expires February 28, 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
- February 28, 2026
- Certificate expiration
- February 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 13, 1993
- Facility type
- Physician office
- 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
- 52D0396816
- Lab name
- Gundersen Tri County Hospital and Clinics
- Additional name
- Independence
- Address
- 35791 Osseo Rd, Independence, WI 54747
- Phone
- (715) 985-2351
Annual test volume the lab reported
- Waived tests
- 249
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 Gundersen Tri County Hospital and Clinics in Independence?
52D0396816, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Gundersen Tri County Hospital and Clinics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0396816 expire?
The CMS file lists February 28, 2028 as the certificate expiration date; the certificate took effect February 28, 2026.