CLIA lab
CLIA 52D0869907: Waupun Memorial Hospital Nursing
Waupun, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0869907 belongs to Waupun Memorial Hospital Nursing in Waupun, WI.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 20, 1993
- Facility type
- Ancillary test site
- 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
- 52D0869907
- Lab name
- Waupun Memorial Hospital Nursing
- Address
- 620 West Brown St, Waupun, WI 53963
- Phone
- (920) 324-5581
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Prairie Ridge Assisted Living (Cbrf)Certificate of Waiver, Assisted living facility52D2026846
- Prairie Ridge Assisted Living (Rcac)Certificate of Waiver, Assisted living facility52D2026844
- SSM Health Laboratories Waupun Memorial HospitalCertificate of Accreditation, Independent52D0671036
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- Waupun Area School DistrictCertificate of Waiver, School or student health service52D2222451
Related
Questions
What is the CLIA number for Waupun Memorial Hospital Nursing in Waupun?
52D0869907, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Waupun Memorial Hospital Nursing hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0869907 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.