CLIA lab
CLIA 52D0397741: Thedacare Physicians - Wautoma Hwy 22 North
Wautoma, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0397741 belongs to Thedacare Physicians - Wautoma Hwy 22 North in Wautoma, WI.
Certificate for Provider-Performed Microscopy Procedures, effective October 3, 2025, expires October 2, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 3, 2025
- Certificate expiration
- October 2, 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
- 52D0397741
- Lab name
- Thedacare Physicians - Wautoma Hwy 22 North
- Address
- N2934 Hwy 22 North, PO Box 650, Wautoma, WI 54982
- Phone
- (920) 361-5567
Annual test volume the lab reported
- Waived tests
- 2,770
- Provider-performed microscopy tests
- 20
- Total
- 2,790
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Wautoma, WI
- Arbor Pines IncCertificate of Waiver, Other52D2172562
- Aurora Health CenterCertificate for Provider-Performed Microscopy Procedures, Physician office52D1000631
- Forefront Dermatology, SCCertificate of Waiver, Physician office52D2029954
- Heartland HouseCertificate of Waiver, Assisted living facility52D1068446
- Noble Community ClinicsCertificate of Waiver, Federally qualified health center52D0398011
- Silver Lake Manor Wautoma LLC CbrfCertificate of Waiver, Assisted living facility52D2004137
- Waushara County Emergency ServicesCertificate of Waiver, Ambulance52D0930739
- Waushara County HealthCertificate of Waiver, Public health laboratory52D0712972
- Waushara County JailCertificate of Waiver, Other52D2264111
- Wautoma Hometown Pharmacy LLCCertificate of Waiver, Pharmacy52D2196191
Related
Questions
What is the CLIA number for Thedacare Physicians - Wautoma Hwy 22 North in Wautoma?
52D0397741, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Thedacare Physicians - Wautoma Hwy 22 North hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 52D0397741 expire?
The CMS file lists October 2, 2027 as the certificate expiration date; the certificate took effect October 3, 2025.