CLIA lab
CLIA 52D0397620: TC Fam Med Clintonville
Clintonville, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0397620 belongs to TC Fam Med Clintonville in Clintonville, WI.
Certificate of Compliance, effective July 13, 2025, expires July 12, 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
- July 13, 2025
- Certificate expiration
- July 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 52D0397620
- Lab name
- TC Fam Med Clintonville
- Address
- 370 S Main Street, Clintonville, WI 54929
- Phone
- (715) 823-5161
- Fax
- (715) 823-1427
Annual test volume the lab reported
- Waived tests
- 7,536
- Other nonwaived tests
- 41,301
- Total
- 48,837
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Clintonville, WI
- Anovia Health, SC - CmahcCertificate of Waiver, Community clinic52D2266693
- Aster Assisted Living of ClintonvilleCertificate of Waiver, Assisted living facility52D2207720
- Care Partners Assisted LivingCertificate of Waiver, Assisted living facility52D2107876
- Care Partners Assisted LivingCertificate of Waiver, Assisted living facility52D2180818
- Clintonville Ambulance ServiceCertificate of Waiver, Ambulance52D0921588
- Greentree Health & Rehabilitation CTRCertificate of Waiver, Skilled nursing or nursing facility52D0670698
- Griebenow EyecareCertificate of Waiver, Physician office52D2315438
- Hoffmaster Group IncCertificate of Waiver, Industrial52D2119695
- Pines Post Acute and Memory Care, theCertificate of Waiver, Skilled nursing or nursing facility52D0722303
Related
Questions
What is the CLIA number for TC Fam Med Clintonville in Clintonville?
52D0397620, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does TC Fam Med Clintonville hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 52D0397620 expire?
The CMS file lists July 12, 2027 as the certificate expiration date; the certificate took effect July 13, 2025.