CLIA lab
CLIA 52D0879904: Southern Wisconsin Center
Union Grove, WI. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 52D0879904 belongs to Southern Wisconsin Center in Union Grove, WI.
Certificate of Waiver, effective December 3, 2025, expires December 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 of Waiver
- Certificate effective
- December 3, 2025
- Certificate expiration
- December 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 3, 1993
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Government, state
- 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
- 52D0879904
- Lab name
- Southern Wisconsin Center
- Address
- 21425 Spring St, Union Grove, WI 53182
- Phone
- (262) 878-2411
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Union Grove, WI
- Ascension All Saints - Union GroveCertificate of Waiver, Physician office52D0389712
- Aurora Union Grove ClinicCertificate of Waiver, Physician office52D0389708
- Burns and Mcdonnell - Paris RiceCertificate of Waiver, Industrial52D2336982
- Gallina Healthcare Network LTD,Certificate of Waiver, Assisted living facility52D2193657
- Oak Ridge Care CenterCertificate of Waiver, Skilled nursing or nursing facility52D0389191
- Town of Paris Fire/RescueCertificate of Waiver, Ambulance52D0986729
- Union Grove CbocCertificate of Accreditation, Community clinic52D0999850
- Union Grove-Yorkville Fire RescueCertificate of Waiver, Ambulance52D0989947
- Wisconsin Veterans Home-Union GroveCertificate of Waiver, Skilled nursing or nursing facility52D1019661
Related
Questions
What is the CLIA number for Southern Wisconsin Center in Union Grove?
52D0879904, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Wisconsin Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 52D0879904 expire?
The CMS file lists December 2, 2027 as the certificate expiration date; the certificate took effect December 3, 2025.