CLIA lab
CLIA 52D0397130: Shell Lake Clinic LTD
Shell Lake, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0397130 belongs to Shell Lake Clinic LTD in Shell Lake, WI.
Certificate of Waiver, effective June 21, 2025, expires June 20, 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 Waiver
- Certificate effective
- June 21, 2025
- Certificate expiration
- June 20, 2027
- 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
- 52D0397130
- Lab name
- Shell Lake Clinic LTD
- Address
- 105 4th Street, PO Box 336, Shell Lake, WI 54871
- Phone
- (715) 468-2711
- Fax
- (715) 468-2727
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Shell Lake, WI
- GlenviewCertificate of Waiver, Assisted living facility52D2102508
- Hearts of Gold IncCertificate of Waiver, Home health agency52D0910693
- Indianhead Medical Center IncCertificate of Accreditation, Hospital52D0397129
- Shell Lake Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility52D0662129
- Washburn County Public Health DepartmentCertificate of Waiver, Public health laboratory52D0662121
Related
Questions
What is the CLIA number for Shell Lake Clinic LTD in Shell Lake?
52D0397130, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Shell Lake Clinic LTD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0397130 expire?
The CMS file lists June 20, 2027 as the certificate expiration date; the certificate took effect June 21, 2025.