CLIA lab

CLIA 52D0397081: Northlakes Community Clinic

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

CLIA number 52D0397081 belongs to Northlakes Community Clinic in Minong, WI.

Certificate of Compliance, effective June 4, 2025, expires June 3, 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 Compliance
Certificate effective
June 4, 2025
Certificate expiration
June 3, 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)
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
52D0397081
Lab name
Northlakes Community Clinic
Address
600 Shell Creek Rd, Minong, WI 54859
Phone
(715) 466-2201
Fax
(715) 466-2205

Annual test volume the lab reported

Waived tests
9,950
Other nonwaived tests
88
Total
10,038

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

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Related

Questions

What is the CLIA number for Northlakes Community Clinic in Minong?

52D0397081, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Northlakes Community Clinic hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 52D0397081 expire?

The CMS file lists June 3, 2027 as the certificate expiration date; the certificate took effect June 4, 2025.

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