CLIA lab

CLIA 52D0882487: Bethany Home, Inc

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

CLIA number 52D0882487 belongs to Bethany Home, Inc in Waupaca, WI.

Certificate of Waiver, effective February 8, 2026, expires February 7, 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
February 8, 2026
Certificate expiration
February 7, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 6, 1994
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Religious affiliation
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
52D0882487
Lab name
Bethany Home, Inc
Address
1226 Berlin Street, Waupaca, WI 54981
Phone
(715) 258-5521

Annual test volume the lab reported

Waived tests
25,000

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

Care facility at this address

  • Bethany HomeCMS Care Compare ratings for the facility at the same street address

Other labs in Waupaca, WI

Related

Questions

What is the CLIA number for Bethany Home, Inc in Waupaca?

52D0882487, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bethany Home, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 52D0882487 expire?

The CMS file lists February 7, 2028 as the certificate expiration date; the certificate took effect February 8, 2026.

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