CLIA lab

CLIA 52D0693164: Sokaogon Chippewa Health Clinic

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

CLIA number 52D0693164 belongs to Sokaogon Chippewa Health Clinic in Crandon, WI.

Certificate of Waiver, effective May 6, 2026, expires May 5, 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
May 6, 2026
Certificate expiration
May 5, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 30, 1993
Facility type
Rural health clinic
Ownership (control type)
Government, 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
52D0693164
Lab name
Sokaogon Chippewa Health Clinic
Address
3144 Vanzile Rd, Crandon, WI 54520
Phone
(715) 478-5180
Fax
(715) 478-5904

Annual test volume the lab reported

Waived tests
980

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

Other labs in Crandon, WI

Related

Questions

What is the CLIA number for Sokaogon Chippewa Health Clinic in Crandon?

52D0693164, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sokaogon Chippewa Health Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D0693164 expire?

The CMS file lists May 5, 2028 as the certificate expiration date; the certificate took effect May 6, 2026.

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